KASIA LAYNE WALLACE-SHAW

PALM BAY, FL
NPI1679068092
Former NameKASIA LAYNE WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: FL  ME148403)
Enumeration Date2018-06-27
Last Update Date2024-05-17
Business Address
KASIA LAYNE WALLACE-SHAW MD
5270 BABCOCK ST NE STE 1
PALM BAY, FL 32905-4616
Phone number: 321-241-6800
Mailing Address
KASIA LAYNE WALLACE-SHAW MD
PO BOX 1137
MELBOURNE, FL 32902-1137
Phone number: 321-952-9696
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