CARLA DENNISE WALLACE

PEARLAND, TX
NPI1164122149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: TX  1095104)
Enumeration Date2023-03-07
Last Update Date2024-06-20
Business Address
CARLA DENNISE WALLACE A-GNP-C
2421 COPPER SKY DR
PEARLAND, TX 77584-3782
Phone number: 409-350-0016
Mailing Address
CARLA DENNISE WALLACE A-GNP-C
2421 COPPER SKY DR
PEARLAND, TX 77584-3782
Phone number: 409-350-0016
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