JENNIFER JANE WALLACE

NEW BEDFORD, MA
NPI1548283336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MA  1992)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
-- JENNIFER JANE WALLACE PA
101 PAGE ST
NEW BEDFORD, MA 02740-3464
Phone number: 508-992-7994
Mailing Address
-- JENNIFER JANE WALLACE PA
101 PAGE ST
NEW BEDFORD, MA 02740-3464
Phone number: 508-992-7994
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