ANABEL RAFAELA DISLA WALLACE

PHILADELPHIA, PA
NPI1487447231
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP032861)
Enumeration Date2025-05-26
Last Update Date2025-07-29
Business Address
ANABEL RAFAELA DISLA WALLACE NP
6431 SACKETT ST
PHILADELPHIA, PA 19149
Phone number: 267-448-4908
Mailing Address
ANABEL RAFAELA DISLA WALLACE NP
6431 SACKETT ST
PHILADELPHIA, PA 19149
Phone number:
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