AMY EVELYN WALLACE

GALLUP, NM
NPI1043452063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NH  056303-21)
Enumeration Date2009-04-06
Last Update Date2009-04-06
Business Address
-- AMY EVELYN WALLACE
516 NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1207
Mailing Address
-- AMY EVELYN WALLACE
PO BOX 1337
GALLUP, NM 87305-1337
Phone number:
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