PATRICIA A. WALLACE, M.D., INC.

MISSION VIEJO, CA
NPI1316104441
Entity TypeOrganization
Authorized ContactPATRICIA ANN WALLACE
President
949-364-4400
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  A73003)
Enumeration Date2008-05-16
Last Update Date2008-05-16
Business Address
PATRICIA A. WALLACE, M.D., INC.
26732 CROWN VALLEY PKWY SUITE 327
MISSION VIEJO, CA 92691-6306
Phone number: 949-364-4400
Mailing Address
PATRICIA A. WALLACE, M.D., INC.
26732 CROWN VALLEY PKWY SUITE 327
MISSION VIEJO, CA 92691-6306
Phone number: 949-364-4400
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