SUSANNAH WALLACE

SAN FRANCISCO, CA
NPI1710645866
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: CA  95029800)
Enumeration Date2021-12-06
Last Update Date2025-03-27
Business Address
SUSANNAH WALLACE NP
1500 MISSION ST
SAN FRANCISCO, CA 94103-2513
Phone number: 646-650-5337
Mailing Address
SUSANNAH WALLACE NP
1449 FAIRBANKS ST SW
ATLANTA, GA 30310-4349
Phone number: