TASHA B WALLACE

FORT MYERS, FL
NPI1396736997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS8622)
Enumeration Date2005-11-02
Last Update Date2024-08-27
Business Address
Dr. TASHA B WALLACE D.O.
14651 PALM BEACH BLVD STE 100
FORT MYERS, FL 33905-2331
Phone number: 239-369-2903
Mailing Address
Dr. TASHA B WALLACE D.O.
14651 PALM BEACH BLVD STE 100
FORT MYERS, FL 33905-2331
Phone number: 239-369-2903
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