TALIA NICOLE WALLACE

CHESAPEAKE, VA
NPI1063937753
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  AC002032)
Enumeration Date2017-08-03
Last Update Date2024-07-30
Business Address
Mrs. TALIA NICOLE WALLACE FNP-C
300 MEDICAL PKWY STE 314
CHESAPEAKE, VA 23320-4985
Phone number: 757-312-6195
Mailing Address
Mrs. TALIA NICOLE WALLACE FNP-C
667 KINGSBOROUGH SQ STE 101
CHESAPEAKE, VA 23320-4999
Phone number: 757-842-4481
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