ELLEN WALLACE

ALBANY, CA
NPI1427685734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A191094)
Enumeration Date2020-03-25
Last Update Date2024-02-06
Business Address
ELLEN WALLACE MD
500 SAN PABLO AVE
ALBANY, CA 94706-1103
Phone number: 510-204-8130
Mailing Address
ELLEN WALLACE MD
22 DUSTIN ST APT 1
WORCESTER, MA 01604-6006
Phone number:
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