Tamara Wallace

NPI #1205471232 in Wasilla, Alaska

Provider Information

NPI Number
1205471232
Entity Type
Individual
Name
Tamara Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Day Training/Habilitation Specialist
Enumeration Date
Nov 13, 2019
Last Updated
Nov 13, 2019

Practice Location

Address
1401 S SEWARD MERIDIAN PKWY STE ABC
State
Alaska
ZIP Code
99654-8312
Phone
(907) 631-3520

Specialties & Taxonomy Codes

Specialty
Day Training/Habilitation Specialist

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