ALEXANDRIA WALLACE

HUNTSVILLE, AL
NPI1811468135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AL  1-143113)
Enumeration Date2018-12-14
Last Update Date2021-01-28
Business Address
ALEXANDRIA WALLACE
101 SIVLEY RD SW
HUNTSVILLE, AL 35801-4421
Phone number: 256-265-6603
Mailing Address
ALEXANDRIA WALLACE
101 SIVLEY RD SW
HUNTSVILLE, AL 35801-4421
Phone number: 256-265-6603