ANN XAVIER WALLACE

FOXBORO, MA
NPI1093809378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MA  122528)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: MA  122528)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
-- ANN XAVIER WALLACE NPC APRN BC
71 WALNUT ST
FOXBORO, MA 02035
Phone number: 781-341-1149
Mailing Address
-- ANN XAVIER WALLACE NPC APRN BC
586 PLAIN ST
STOUGHTON, MA 02072
Phone number: 781-341-1149