RICHARD WALLACE

COLORADO SPRINGS, CO
NPI1811434400
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CO  112239)
Enumeration Date2017-01-20
Last Update Date2017-01-20
Business Address
RICHARD WALLACE RN BSN
4905 HACKAMORE DR N
COLORADO SPRINGS, CO 80918-2632
Phone number: 719-252-6631
Mailing Address
RICHARD WALLACE RN BSN
4905 HACKAMORE DR N
COLORADO SPRINGS, CO 80918-2632
Phone number: 719-252-6631
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