JEAN A. WALLACE

MANHASSET, NY
NPI1144480088
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: NY  F350149)
Enumeration Date2008-06-13
Last Update Date2008-06-13
Business Address
-- JEAN A. WALLACE NP
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-4665
Mailing Address
-- JEAN A. WALLACE NP
130 ELMWOOD DR
DIX HILLS, NY 11746-5658
Phone number: 631-549-1357
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