Annaliesa Wallace, PA
NPI #1255744363 in Kerrville, Texas
Provider Information
- NPI Number
- 1255744363
- Entity Type
- Individual
- Name
- Annaliesa Wallace, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Jun 5, 2014
- Last Updated
- Mar 10, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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