JENNIFER KATHERINE WALLACE

VENTURA, CA
NPI1578796926
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CA  PA20925)
Enumeration Date2009-09-02
Last Update Date2010-09-08
Business Address
JENNIFER KATHERINE WALLACE PA-C
2660 E MAIN ST SUITE 204
VENTURA, CA 93003-2893
Phone number: 805-643-7500
Mailing Address
JENNIFER KATHERINE WALLACE PA-C
2660 E MAIN ST SUITE 204
VENTURA, CA 93003-2893
Phone number: 805-643-7500
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