MARLENE M.B. WALLACE

JBER, AK
NPI1629037676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209012095)
Additional Taxonomies163WP0000X Registered Nurse, Pain Management
(Licence: IL  041305554)
Enumeration Date2006-03-20
Last Update Date2023-02-13
Business Address
MARLENE M.B. WALLACE CRNA
5955 ZEAMER AVE 673RD MEDICAL GROUP/SGHQ DOD-VA JOINT VENTURE HOSPITAL
JBER, AK 99506-3702
Phone number: 907-580-1035
Mailing Address
MARLENE M.B. WALLACE CRNA
5955 ZEAMER AVE 673RD MEDICAL GROUP/SGHQ DOD-VA JOINT VENTURE HOSPITAL
JBER, AK 99506-3702
Phone number: 907-580-1035