SARAH L WALLACE

LAFAYETTE, LA
NPI1659555969
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R559466)
Enumeration Date2007-12-21
Last Update Date2007-12-21
Business Address
-- SARAH L WALLACE NP
200 CORPORATE BLVD SUITE 201
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
Mailing Address
-- SARAH L WALLACE NP
350 CROSSGATES BLVD
BRANDON, MS 39042-2601
Phone number:
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