ALICE WALLACK

PISMO BEACH, CA
NPI1316957103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  G45399)
Enumeration Date2006-08-08
Last Update Date2012-05-09
Business Address
-- ALICE WALLACK MD
931 OAK PARK BLVD SUITE 101
PISMO BEACH, CA 93449-3402
Phone number: 805-474-2600
Mailing Address
-- ALICE WALLACK MD
931 OAK PARK BLVD SUITE 101
PISMO BEACH, CA 93449-3402
Phone number: 805-474-2600
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