CARLY WALLACE

YPSILANTI, MI
NPI1700562766
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA  15182)
Enumeration Date2023-06-26
Last Update Date2025-09-15
Business Address
-- CARLY WALLACE DO
5333 MCAULEY DR STE R-5003
YPSILANTI, MI 48197-1014
Phone number: 734-712-3376
Mailing Address
-- CARLY WALLACE DO
5333 MCAULEY DR STE R-5003
YPSILANTI, MI 48197-1014
Phone number: 734-712-3376
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