PAULINE WALLACE

BROOKLYN, NY
NPI1386916872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  480454-1)
Enumeration Date2012-01-31
Last Update Date2012-01-31
Business Address
-- PAULINE WALLACE
956 E 79TH ST
BROOKLYN, NY 11236-3808
Phone number: 343-243-1336
Mailing Address
-- PAULINE WALLACE
956 E 79TH ST
BROOKLYN, NY 11236-3808
Phone number: 343-243-1336