JOAN WALLACE

PROVIDENCE, RI
NPI1972696938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: RI  NPP20834)
Enumeration Date2006-10-02
Last Update Date2007-10-11
Business Address
-- JOAN WALLACE NP
297 PROMENADE ST
PROVIDENCE, RI 02908-5720
Phone number: 401-490-6464
Mailing Address
-- JOAN WALLACE NP
297 PROMENADE ST
PROVIDENCE, RI 02908-5720
Phone number: 401-490-6464
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