Search › Michigan › 164W00000X
Ashley Wallace
NPI 1861895203 · on the registry since 2014 · sole proprietor
Practice
- Address
- 29615 Hanover Blvd
Westland, MI 48186 - Phone
- (734) 560-3074
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan