CASSANDRA MARIE WALLACE

SAINT LOUIS, MO
NPI1417354440
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO  2014038394)
Enumeration Date2014-11-19
Last Update Date2025-04-17
Business Address
Ms. CASSANDRA MARIE WALLACE PNP
1 CHILDRENS PL DIV PED EMERGENCY MED
SAINT LOUIS, MO 63110-1002
Phone number: 314-454-2341
Mailing Address
Ms. CASSANDRA MARIE WALLACE PNP
PO BOX 7412011
CHICAGO, IL 60674-2011
Phone number: 314-454-2341
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