KATHRYN JANSEN WALLACE

HUNTERSVILLE, NC
NPI1184976953
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5005839)
Enumeration Date2012-10-04
Last Update Date2019-05-30
Business Address
KATHRYN JANSEN WALLACE NP
14330 OAKHILL PARK LN STE 200
HUNTERSVILLE, NC 28078-3407
Phone number: 704-316-4830
Mailing Address
KATHRYN JANSEN WALLACE NP
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-316-4830
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