JESSICA DENE WALLACE

TUBA CITY, AZ
NPI1760100028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: AZ  CNM278747)
Enumeration Date2022-08-22
Last Update Date2022-08-22
Business Address
Ms. JESSICA DENE WALLACE CNM
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
Mailing Address
Ms. JESSICA DENE WALLACE CNM
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2781
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