Debra Wallace
Registered Nurse in Dorchester, MA. Individual provider (NPI-1).
NPI number1285877464
StatusActive
Last updated in NPPESApr 17, 2009
Details
- NPI
- 1285877464
- Entity type
- Individual (NPI-1)
- Name
- Debra Wallace
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2009
- Last updated
- Apr 17, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 236284 | MA | Yes |
Other names
- Debra Wallace (Other Name)
Practice location
50 Redfield StSuite 302
Dorchester, MA 02122-3630
Phone 617-506-5160
Mailing address
50 Redfield StSuite 302
Dorchester, MA 02122-3630
Phone 617-506-5160
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All 169 Registered Nurse providers in Dorchester · All 1,989 providers in Dorchester
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