ALEC NATHANIEL WALLACE

TRAVIS AFB, CA
NPI1487242087
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: IN  02008162A)
Enumeration Date2021-01-08
Last Update Date2026-01-21
Business Address
ALEC NATHANIEL WALLACE DO
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3000
Mailing Address
ALEC NATHANIEL WALLACE DO
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number:
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