ALEXIA WALLACE

CHESTER, VA
NPI1821455320
Former NameALEXIA NIEVES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024174328)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: FL  9287652)
Enumeration Date2016-01-28
Last Update Date2017-03-01
Business Address
-- ALEXIA WALLACE ARNP
221 E HUNDRED RD
CHESTER, VA 23836-2613
Phone number: 804-530-1172
Mailing Address
-- ALEXIA WALLACE ARNP
221 E HUNDRED RD
CHESTER, VA 23836-2613
Phone number: 804-530-1172