BILLY MICHEAL WALLACE

NEW ORLEANS, LA
NPI1194656454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  210380)
Enumeration Date2026-05-26
Last Update Date2026-06-12
Business Address
Mr. BILLY MICHEAL WALLACE
1401 FOUCHER ST
NEW ORLEANS, LA 70115-3593
Phone number: 504-897-7011
Mailing Address
Mr. BILLY MICHEAL WALLACE
4921 TRENTON ST
METAIRIE, LA 70006-6419
Phone number: 504-738-4023