TRESA C WALLACE

GRETNA, LA
NPI1245673565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: LA  AP07277)
Enumeration Date2013-04-17
Last Update Date2020-07-24
Business Address
TRESA C WALLACE WHNP
110 BELLEMEADE BLVD. SUITE A
GRETNA, LA 70056-2954
Phone number: 504-309-2576
Mailing Address
TRESA C WALLACE WHNP
100 ORANGE BLOSSOM CT
BELLE CHASSE, LA 70037-1649
Phone number: 504-782-0673
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