STEPHANIE E WALLACE

CAMP PENDLETON, CA
NPI1427534718
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R225183)
Enumeration Date2018-07-19
Last Update Date2018-07-19
Business Address
STEPHANIE E WALLACE CRNA
200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Phone number: 760-719-4970
Mailing Address
STEPHANIE E WALLACE CRNA
PO BOX 555191
CAMP PENDLETON, CA 92055-5191
Phone number: 760-719-4970
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