KECHA WALLACE

SUN PRAIRIE, WI
NPI1134688864
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: WI  229385-30)
Enumeration Date2019-03-12
Last Update Date2019-03-12
Business Address
KECHA WALLACE Registered Nurse
885 ROBIN DR
SUN PRAIRIE, WI 53590-3319
Phone number: 608-234-0265
Mailing Address
KECHA WALLACE Registered Nurse
885 ROBIN DR
SUN PRAIRIE, WI 53590-3319
Phone number: 608-234-0265
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