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1306920780
JESSICA FAYE WALLACE
WASHINGTON, DC
NPI
1306920780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 0010-00640)
Enumeration Date
2006-10-24
Last Update Date
2021-03-26
Business Address
JESSICA FAYE WALLACE PA-C
3020 14TH ST NW
WASHINGTON, DC 20009-6865
Phone number: 202-745-4300
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Mailing Address
JESSICA FAYE WALLACE PA-C
3020 14TH ST NW
WASHINGTON, DC 20009-6865
Phone number: 202-745-4300
Copy
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