STEPHANIE WALLACE

TUCSON, AZ
NPI1477924082
Former NameSTEPHANIE RUKASIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  6214)
Enumeration Date2015-10-08
Last Update Date2020-01-20
Business Address
Mrs. STEPHANIE WALLACE PA-C
1625 N CAMPBELL AVE
TUCSON, AZ 85719-4330
Phone number: 520-694-0111
Mailing Address
Mrs. STEPHANIE WALLACE PA-C
3870 W WILD HORSE PL
TUCSON, AZ 85741-1906
Phone number: 520-307-9417
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