KENDA JOLEEN WALLACE

PHOENIX, AZ
NPI1316007339
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WI0600X Registered Nurse, Infection Control
(Licence: CT  E42490)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
Ms. KENDA JOLEEN WALLACE RN
4212 NORTH 16TH ST,
PHOENIX, AZ 85016
Phone number: 602-263-1511
Mailing Address
Ms. KENDA JOLEEN WALLACE RN
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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