RACHEL RENEE WALLACE

CORTEZ, CO
NPI1669719175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  C-APN.0001428-C-CRNA)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  R0088890)
Enumeration Date2013-01-04
Last Update Date2022-08-08
Business Address
RACHEL RENEE WALLACE CRNA
1311 N MILDRED RD
CORTEZ, CO 81321
Phone number: 970-555-6666
Mailing Address
RACHEL RENEE WALLACE CRNA
35505 ROAD K.1
MANCOS, CO 81328-8978
Phone number: