DIANE MARIE WALLACH

NORFOLK, VA
NPI1497744791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: VA  0618001150)
Enumeration Date2005-10-19
Last Update Date2016-12-27
Business Address
Dr. DIANE MARIE WALLACH OD
209 GRANBY ST
NORFOLK, VA 23510-1805
Phone number: 757-627-3937
Mailing Address
Dr. DIANE MARIE WALLACH OD
209 GRANBY ST
NORFOLK, VA 23510-1805
Phone number: 757-627-3937
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