REBECCA JANE WALLIG

ESPANOLA, NM
NPI1033791892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: NM  DO2024-0091)
Enumeration Date2021-04-22
Last Update Date2024-07-16
Business Address
REBECCA JANE WALLIG DO
1010 SPRUCE ST
ESPANOLA, NM 87532-2724
Phone number: 505-367-0340
Mailing Address
REBECCA JANE WALLIG DO
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: