EVA ALICJA WALLACE

BRIDGEPORT, CT
NPI1962928283
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  7128)
Enumeration Date2017-08-17
Last Update Date2017-08-17
Business Address
Dr. EVA ALICJA WALLACE DNP
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3000
Mailing Address
Dr. EVA ALICJA WALLACE DNP
152 KNEEN ST
SHELTON, CT 06484-3935
Phone number:
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