BONNIE LEIGH WALLACE

HERRIMAN, UT
NPI1871316372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  7682759-4405)
Enumeration Date2024-11-04
Last Update Date2024-11-04
Business Address
BONNIE LEIGH WALLACE FNP-C
12573 S LIBERTY HILL CT
HERRIMAN, UT 84096-7774
Phone number: 801-690-4899
Mailing Address
BONNIE LEIGH WALLACE FNP-C
12573 S LIBERTY HILL CT
HERRIMAN, UT 84096-7774
Phone number: 801-690-4899
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