Renna R Wallace
NPI #1649975053 in Perth Amboy, New Jersey
Provider Information
- NPI Number
- 1649975053
- Entity Type
- Individual
- Name
- Renna R Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Apr 4, 2023
- Last Updated
- Apr 4, 2023
Practice Location
- Address
- 5 DALLY CT
- City
- Perth Amboy
- State
- New Jersey
- ZIP Code
- 08861-2967
- Phone
- (718) 812-9691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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