MIKAILA WALLACE

LINCOLN, NE
NPI1023687217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NE  TEP9082)
Enumeration Date2021-06-22
Last Update Date2021-06-22
Business Address
MIKAILA WALLACE DO
4600 VALLEY RD STE 200
LINCOLN, NE 68510-4882
Phone number: 402-327-6921
Mailing Address
MIKAILA WALLACE DO
4600 VALLEY RD STE 210
LINCOLN, NE 68510-4892
Phone number: 402-327-6921
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