TRACY WALLACE

GONZALES, LA
NPI1720306558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: LA  204717)
Enumeration Date2010-05-04
Last Update Date2021-05-19
Business Address
TRACY WALLACE MD
1937 S BURNSIDE AVE
GONZALES, LA 70737-4632
Phone number: 225-765-5500
Mailing Address
TRACY WALLACE MD
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-765-5727
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