DEANTHIA RICARA-GIGI WALLACE

PENSACOLA, FL
NPI1629764907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11024974)
Enumeration Date2023-04-11
Last Update Date2025-01-17
Business Address
DEANTHIA RICARA-GIGI WALLACE APRN
1545 AIRPORT BLVD # O
PENSACOLA, FL 32504-8615
Phone number: 850-416-6933
Mailing Address
DEANTHIA RICARA-GIGI WALLACE APRN
1545 AIRPORT BLVD # O
PENSACOLA, FL 32504-8615
Phone number: 850-416-6933
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