TERESA L WALLACE

RENTON, WA
NPI1871509646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD00025633)
Enumeration Date2006-07-31
Last Update Date2012-09-17
Business Address
-- TERESA L WALLACE MD
3915 TALBOT RD S STE 401
RENTON, WA 98055-5738
Phone number: 425-656-4224
Mailing Address
-- TERESA L WALLACE MD
3600 LIND AVE SW STE 100
RENTON, WA 98057-4934
Phone number: 425-656-5412