DONNA M WALLACE

BRIDGEPORT, CT
NPI1154577047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  003840)
Enumeration Date2008-08-12
Last Update Date2014-08-22
Business Address
-- DONNA M WALLACE ARPN
46 ALBION ST
BRIDGEPORT, CT 06605-2602
Phone number: 203-330-6000
Mailing Address
-- DONNA M WALLACE ARPN
46 ALBION ST SOUTHWEST COMMUNITY HEALTH CENTER, INC
BRIDGEPORT, CT 06605-2602
Phone number: 203-332-3155
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