JENNIFER M WALLACE

ST PETERSBURG, FL
NPI1972791747
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  PA9104356)
Enumeration Date2007-10-05
Last Update Date2025-03-14
Business Address
JENNIFER M WALLACE PA-C
620 10TH ST N STE 1D
ST PETERSBURG, FL 33705-1407
Phone number: 727-828-8400
Mailing Address
JENNIFER M WALLACE PA-C
2995 DREW ST FL 2
CLEARWATER, FL 33759-3012
Phone number: 727-315-7496
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