Kimmerley Wallace
NPI #1639738883 in Hitchcock, Texas
Provider Information
- NPI Number
- 1639738883
- Entity Type
- Individual
- Name
- Kimmerley Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Jun 11, 2019
- Last Updated
- Jun 11, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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