MELISSA S WALLACE

EUGENE, OR
NPI1972068278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201393584LPN)
Enumeration Date2019-01-31
Last Update Date2019-01-31
Business Address
MELISSA S WALLACE LPN
151 W 7TH AVE STE 163
EUGENE, OR 97401-2676
Phone number: 541-682-4464
Mailing Address
MELISSA S WALLACE LPN
2420 POLK ST
EUGENE, OR 97405-1837
Phone number: 541-650-2236
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