TONIA WALLACE

GLENDALE, AZ
NPI1700531498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  270985)
Enumeration Date2022-02-21
Last Update Date2024-02-29
Business Address
TONIA WALLACE PMHNP-BC
6751 N SUNSET BLVD STE 320
GLENDALE, AZ 85305-3155
Phone number: 480-516-8037
Mailing Address
TONIA WALLACE PMHNP-BC
15652 W DURANGO ST
GOODYEAR, AZ 85338-3370
Phone number: 708-829-1520
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