MARLENE T WALLACE

WAXHAW, NC
NPI1780665521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  201319)
Enumeration Date2005-11-09
Last Update Date2009-06-16
Business Address
-- MARLENE T WALLACE RN, FNP-C
1142 N BROOME ST
WAXHAW, NC 28173-9378
Phone number: 704-843-4680
Mailing Address
-- MARLENE T WALLACE RN, FNP-C
5808 MCWHORTER RD
WAXHAW, NC 28173-8202
Phone number: