KIMBERLY S. WALLACH

PRESCOTT VALLEY, AZ
NPI1750391462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: AZ  5775)
Enumeration Date2006-08-08
Last Update Date2014-09-09
Business Address
KIMBERLY S. WALLACH P.A.-C
6496 E STATE ROUTE 69
PRESCOTT VALLEY, AZ 86314-2920
Phone number: 928-775-9007
Mailing Address
KIMBERLY S. WALLACH P.A.-C
3191 STILLWATER DR SUITE B
PRESCOTT, AZ 86305-7143
Phone number: 928-445-7085
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