JENNIFER M WALLACE

ST PETERSBURG, FL
NPI1972791747
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9104356)
Enumeration Date2007-10-05
Last Update Date2007-10-05
Business Address
-- JENNIFER M WALLACE PA-C
603 7TH ST S STE 540
ST PETERSBURG, FL 33701-4719
Phone number: 727-553-7550
Mailing Address
-- JENNIFER M WALLACE PA-C
603 7TH ST S STE 540
ST PETERSBURG, FL 33701-4719
Phone number: 727-553-7550
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