John Ralph Wallingford JR.

NPI #1386433423 in Wasilla, Alaska

Provider Information

NPI Number: 1386433423
Entity Type: Individual
Name: John Ralph Wallingford JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 5, 2025
Last Updated: May 5, 2025

Practice Location

Address: 1419 S KITTIWAKE ST
City: Wasilla
State: Alaska
ZIP Code: 99623-9302
Phone: (907) 313-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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