Julie Wallace

NPI #1215829528 in Kansas City, Missouri

Provider Information

NPI Number
1215829528
Entity Type
Individual
Name
Julie Wallace
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider
Enumeration Date
Jul 21, 2025
Last Updated
Jul 21, 2025

Practice Location

Address
319 E 125TH TER
ZIP Code
64145-1659
Phone
(816) 797-9810

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider

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