Ian Wallace, MS, CGC

NPI #1942514930 in Pullman, Washington

Provider Information

NPI Number: 1942514930
Entity Type: Individual
Name: Ian Wallace, MS, CGC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Genetic Counselor, MS
Credential: MS, CGC
Enumeration Date: Aug 2, 2010
Last Updated: Oct 6, 2011

Practice Location

Address: 1620 SE SUMMIT CT
City: Pullman
State: Washington
ZIP Code: 99163-5540
Phone: (509) 332-5106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Genetic Counselor, MS	170300000X	Primary

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