Rebecca Wallace
NPI #1285980250 in Chestnut Ridge, New York
Provider Information
- NPI Number
- 1285980250
- Entity Type
- Individual
- Name
- Rebecca Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jul 27, 2012
- Last Updated
- Jul 27, 2012
Practice Location
- Address
- 12 DEMAREST RD
- City
- Chestnut Ridge
- State
- New York
- ZIP Code
- 10977-6517
- Phone
- (845) 323-5257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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