Pauline Wallace, LPN

NPI #1922385764 in Selden, New York

Provider Information

NPI Number
1922385764
Entity Type
Individual
Name
Pauline Wallace, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Nov 8, 2011
Last Updated
Nov 8, 2011

Practice Location

Address
20 WILLOW ST
City
Selden
ZIP Code
11784-2808
Phone
(631) 732-2073

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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