Dondirall Nicole Wallace
NPI #1093205569 in Glenn Heights, Texas
Provider Information
- NPI Number
- 1093205569
- Entity Type
- Individual
- Name
- Dondirall Nicole Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- May 10, 2018
- Last Updated
- May 10, 2018
Practice Location
- Address
- 304 JOSEPH DR
- City
- Glenn Heights
- State
- Texas
- ZIP Code
- 75154-3805
- Phone
- (682) 412-2021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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