LAKENYA CHIMERE WALLACE

NEW PORT RICHEY, FL
NPI1437559408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9198088)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: TX  AP133966)
Enumeration Date2014-08-27
Last Update Date2022-06-17
Business Address
LAKENYA CHIMERE WALLACE FNP-C
10925 STATE ROAD 54
NEW PORT RICHEY, FL 34655-2277
Phone number: 866-389-2727
Mailing Address
LAKENYA CHIMERE WALLACE FNP-C
11511 SHADOW CREEK PKWY
PEARLAND, TX 77584-7298
Phone number: 713-442-4997