Kate Wallace

NPI #1376434084 in Bishop, California

Provider Information

NPI Number: 1376434084
Entity Type: Individual
Name: Kate Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 10, 2025
Last Updated: Jul 10, 2025

Practice Location

Address: 1360 N MAIN ST
City: Bishop
State: California
ZIP Code: 93514-3013
Phone: (760) 873-6533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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