STEPHANIE ELLEN WALLACE

TACOMA, WA
NPI1295840676
Former NameSTEPHANIE ELLEN LAMBERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: WA  MD00044481)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
-- STEPHANIE ELLEN WALLACE MD
315 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4234
Phone number: 253-403-1000
Mailing Address
-- STEPHANIE ELLEN WALLACE MD
PO BOX 5299 MS: 737-2-PHYS
TACOMA, WA 98415-0299
Phone number: 253-459-7970
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