DONNA C WALLACE

PHOENIX, AZ
NPI1346236122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ  RN041572)
Enumeration Date2005-09-27
Last Update Date2014-09-03
Business Address
-- DONNA C WALLACE PNP
2910 N 3RD AVE
PHOENIX, AZ 85013-4434
Phone number: 602-406-3632
Mailing Address
-- DONNA C WALLACE PNP
2910 N 3RD AVE
PHOENIX, AZ 85013-4434
Phone number: 602-406-3632
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