DYLAN ELIZABETH WALLACE

PHILADELPHIA, PA
NPI1316569353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: PA  SP021955)
Enumeration Date2020-05-13
Last Update Date2020-05-13
Business Address
DYLAN ELIZABETH WALLACE FNP
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-3920
Mailing Address
DYLAN ELIZABETH WALLACE FNP
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number:
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