KIMBERLY LOUISE WALLACE

SAN ANTONIO, TX
NPI1043713936
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: TX  256026)
Enumeration Date2018-03-16
Last Update Date2018-03-16
Business Address
Miss KIMBERLY LOUISE WALLACE RN
2040 BABCOCK RD STE 304
SAN ANTONIO, TX 78229-4428
Phone number: 210-731-9570
Mailing Address
Miss KIMBERLY LOUISE WALLACE RN
2040 BABCOCK RD STE 304
SAN ANTONIO, TX 78229-4428
Phone number: 210-731-9570
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