DEBRA R WALLACE

PANORAMA CITY, CA
NPI1164570065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  006248)
Enumeration Date2007-01-08
Last Update Date2021-11-30
Business Address
DEBRA R WALLACE NP
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
Mailing Address
DEBRA R WALLACE NP
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
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