Latiere Wallace, APRN

NPI #1518673854 in Dade City, Florida

Provider Information

NPI Number
1518673854
Entity Type
Individual
Name
Latiere Wallace, APRN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
APRN
Enumeration Date
Jan 30, 2023
Last Updated
May 11, 2023

Practice Location

Address
14527 7TH ST
State
Florida
ZIP Code
33523-3102
Phone
(352) 521-1474

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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