BERNICE E WALLACE

PLANTATION, FL
NPI1679887707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL  ARNP1772012)
Enumeration Date2010-07-30
Last Update Date2012-02-16
Business Address
-- BERNICE E WALLACE
4101 NW 4TH ST SUITE 200
PLANTATION, FL 33317-2850
Phone number: 954-791-5420
Mailing Address
-- BERNICE E WALLACE
4101 NW 4TH ST SUITE 200
PLANTATION, FL 33317-2850
Phone number: 954-791-5420
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