DEREKA WALLACE

PUYALLUP, WA
NPI1346040649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: WA  61519413)
Enumeration Date2025-03-17
Last Update Date2025-03-17
Business Address
DEREKA WALLACE RN
401 15TH AVE SE
PUYALLUP, WA 98372-3715
Phone number: 253-697-4000
Mailing Address
DEREKA WALLACE RN
401 15TH AVE SE
PUYALLUP, WA 98372-3715
Phone number: 253-697-4000
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