IMELDA V WALLACE

EL PASO, TX
NPI1003541095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  2022000137)
Enumeration Date2022-07-22
Last Update Date2022-07-22
Business Address
IMELDA V WALLACE FNP-BC
11860 VISTA DEL SOL DR STE 150
EL PASO, TX 79936-6128
Phone number: 915-808-4000
Mailing Address
IMELDA V WALLACE FNP-BC
11860 VISTA DEL SOL DR STE 150
EL PASO, TX 79936-6128
Phone number: 915-808-4000
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