JACQUELINE WALLACE

PROVIDENCE, RI
NPI1710920376
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: RI  RN12564)
Enumeration Date2006-06-13
Last Update Date2008-07-25
Business Address
-- JACQUELINE WALLACE RN
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-276-4100
Mailing Address
-- JACQUELINE WALLACE RN
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number:
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