Joel Nielson Wallace, RNFA

NPI #1689827891 in Central Point, Oregon

Provider Information

NPI Number
1689827891
Entity Type
Individual
Name
Joel Nielson Wallace, RNFA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse - Registered Nurse First Assistant
Credential
RNFA
Enumeration Date
Oct 31, 2008
Last Updated
Oct 31, 2008

Practice Location

Address
9354 PUMICE LN
State
Oregon
ZIP Code
97502-9325
Phone
(541) 826-7209

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Registered Nurse First AssistantRegistered Nurse First Assistant

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