ROY ERICKSON WALLACE

TAMC, HI
NPI1134191885
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2006-02-06
Last Update Date2007-07-08
Business Address
Mr. ROY ERICKSON WALLACE PA
1 JARRETT WHITE RD TAMC, PERSONNEL DIVISION
TAMC, HI 96859-5001
Phone number: 808-433-1790
Mailing Address
Mr. ROY ERICKSON WALLACE PA
784 RINGOLD ST APT 11
WAHIAWA, HI 96786-3857
Phone number: 808-351-7495
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