TRESA C WALLACE

INDIANAPOLIS, IN
NPI1245673565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: LA  AP07277)
Enumeration Date2013-04-17
Last Update Date2025-11-22
Business Address
TRESA C WALLACE WHNP
201 N ILLINOIS ST
INDIANAPOLIS, IN 46204-1904
Phone number: 888-731-8994
Mailing Address
TRESA C WALLACE WHNP
2000 CANAL ST
NEW ORLEANS, LA 70112-3018
Phone number: 504-702-3928
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