Edna Wallen
NPI #1659977122 in Charleston, West Virginia
Provider Information
- NPI Number
- 1659977122
- Entity Type
- Individual
- Name
- Edna Wallen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Adult Companion
- Enumeration Date
- Dec 9, 2020
- Last Updated
- Dec 9, 2020
Practice Location
- Address
- 1420 KANAWHA BLVD W
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25387-2537
- Phone
- (304) 344-3403
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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