MARY MICHELLE WALLACE

PHOENIX, AZ
NPI1417176546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  RN030118)
Enumeration Date2007-04-25
Last Update Date2007-07-08
Business Address
-- MARY MICHELLE WALLACE N.P.
444 N 44TH ST #200
PHOENIX, AZ 85008-7624
Phone number: 602-685-3846
Mailing Address
-- MARY MICHELLE WALLACE N.P.
444 N 44TH ST #200
PHOENIX, AZ 85008-7624
Phone number: 602-685-3846
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