GEORGIANA WALLACE

ITHACA, NY
NPI1427929843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2025-09-17
Last Update Date2025-09-17
Business Address
GEORGIANA WALLACE
953 DANBY RD
ITHACA, NY 14850-7002
Phone number: 240-429-6986
Mailing Address
GEORGIANA WALLACE
953 DANBY RD
ITHACA, NY 14850-7002
Phone number: 240-429-6986
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