Elizabeth A Wallace
NPI #1598359911 in Cimarron, New Mexico
Provider Information
- NPI Number
- 1598359911
- Entity Type
- Individual
- Name
- Elizabeth A Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - School
- Enumeration Date
- Feb 25, 2021
- Last Updated
- Feb 25, 2021
Practice Location
- Address
- 125 N COLLISON AVE
- City
- Cimarron
- State
- New Mexico
- ZIP Code
- 87714-8505
- Phone
- (575) 377-6991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - School — School |
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