Ethyl Laura Wallace
NPI #1326803156 in Gainesville, Florida
Provider Information
- NPI Number
- 1326803156
- Entity Type
- Individual
- Name
- Ethyl Laura Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse's Aide
- Enumeration Date
- Feb 20, 2024
- Last Updated
- Feb 20, 2024
Practice Location
- Address
- 4300 SW 13TH ST
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32608-4006
- Phone
- (352) 374-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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