NATHASA WALLACE

HARVEY, IL
NPI1326420530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.012383)
Enumeration Date2015-06-24
Last Update Date2022-06-10
Business Address
Ms. NATHASA WALLACE FNP
31 W 155TH ST
HARVEY, IL 60426-3556
Phone number: 708-596-5177
Mailing Address
Ms. NATHASA WALLACE FNP
31 W 155TH ST
HARVEY, IL 60426-3556
Phone number: 708-596-5177
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