NPI 1144674482

Wenderlain Walley, DIETARYSUPERVISOR

Practitioner Dietary Manager Clinton, AR

Practice location

Address: 242 Shake Rag Rd, Clinton, AR 72031-6629
Phone: (501) 745-6644
Mailing address: PO Box 1589, Benton, AR 72018-1589

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X

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Registry record

NPI: 1144674482
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2016
Record last updated: 22 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.