PAIGE MARIE WALLACE

FORT WORTH, TX
NPI1326686403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP143787)
Enumeration Date2019-12-19
Last Update Date2019-12-19
Business Address
PAIGE MARIE WALLACE
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number: 817-291-4545
Mailing Address
PAIGE MARIE WALLACE
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number:
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