LISA N WALLACE

NEW HAMPTON, NY
NPI1538969589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  633930)
Enumeration Date2025-03-18
Last Update Date2025-03-18
Business Address
LISA N WALLACE
2834 ROUTE 17M
NEW HAMPTON, NY 10958-5011
Phone number: 845-374-8700
Mailing Address
LISA N WALLACE
74 DOLL RD
BLOOMINGBURG, NY 12721-5310
Phone number: 845-699-9044