WALLACE HENRY

MESA, AZ
NPI1316311715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date2015-11-23
Last Update Date2015-11-23
Business Address
-- WALLACE HENRY
1055 S STAPLEY DR
MESA, AZ 85204
Phone number: 480-833-9100
Mailing Address
-- WALLACE HENRY
1055 S STAPLEY DR
MESA, AZ 85204-5013
Phone number: 480-833-2641
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