PAMELA YVONNE WALLACE

SAINT LOUIS, MO
NPI1396359022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MO  2017028448)
Enumeration Date2020-09-01
Last Update Date2020-09-01
Business Address
Ms. PAMELA YVONNE WALLACE Register Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820
Mailing Address
Ms. PAMELA YVONNE WALLACE Register Nurse
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO 63112-4265
Phone number: 314-367-5820