David Wallenhurst, AAS

NPI #1770094575 in Lisbon, Ohio

Provider Information

NPI Number: 1770094575
Entity Type: Individual
Name: David Wallenhurst, AAS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: AAS
Enumeration Date: Oct 19, 2017
Last Updated: Oct 19, 2017

Practice Location

Address: 40722 STATE ROUTE 154
City: Lisbon
State: Ohio
ZIP Code: 44432-8500
Phone: (330) 424-9573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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