LAUREL SLOUGH WALLACE

MIDLOTHIAN, VA
NPI1225482946
Former NameLAUREL SLOUGH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NC  218358)
Enumeration Date2016-04-19
Last Update Date2021-11-05
Business Address
LAUREL SLOUGH WALLACE D.O.
13540 HULL STREET RD
MIDLOTHIAN, VA 23112-2107
Phone number: 804-739-6142
Mailing Address
LAUREL SLOUGH WALLACE D.O.
13540 HULL STREET RD
MIDLOTHIAN, VA 23112-2107
Phone number: 804-739-6142
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