LEIGH E. WALLACE IVY

BIRMINGHAM, AL
NPI1013262435
Former NameLEIGH E. WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-093252)
Enumeration Date2012-07-23
Last Update Date2017-11-06
Business Address
LEIGH E. WALLACE IVY CRNA
810 SAINT VINCENTS DR
BIRMINGHAM, AL 35205-1601
Phone number: 205-939-7143
Mailing Address
LEIGH E. WALLACE IVY CRNA
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: 205-731-9701
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