KATHLEEN WALLACE

BOSTON, MA
NPI1508010638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MA  258192)
Enumeration Date2008-11-17
Last Update Date2008-11-17
Business Address
-- KATHLEEN WALLACE NP
300 LONGWOOD AVE
BOSTON, MA 02115-5724
Phone number: 617-355-8117
Mailing Address
-- KATHLEEN WALLACE NP
244 BUNKER HILL STREET
CHARLESTOWN, MA 02129
Phone number: 617-512-5297
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