NICOLE WALLACE

SAN DIEGO, CA
NPI1588964787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  37203)
Enumeration Date2010-10-22
Last Update Date2010-10-22
Business Address
-- NICOLE WALLACE DPT
3350 LA JOLLA VILLAGE DRIVE
SAN DIEGO, CA 92161
Phone number: 858-552-8585
Mailing Address
-- NICOLE WALLACE DPT
5225 FIORE TERRACE APT D317
SAN DIEGO, CA 92122
Phone number:
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