DANA MARIE WALLACE

PHILADELPHIA, PA
NPI1861989279
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP018488)
Enumeration Date2018-04-20
Last Update Date2018-04-20
Business Address
DANA MARIE WALLACE CRNP FNP-C
5040 CITY AVE
PHILADELPHIA, PA 19131-1435
Phone number: 215-877-2116
Mailing Address
DANA MARIE WALLACE CRNP FNP-C
25 DUDLEY AVE
LANSDOWNE, PA 19050-2802
Phone number: 484-477-5063
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