Josephine Wallace
NPI #1982409637 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1982409637
- Entity Type
- Individual
- Name
- Josephine Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 17, 2025
- Last Updated
- Feb 17, 2025
Practice Location
- Address
- 2052 GALISTEO ST
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-2100
- Phone
- (505) 819-3419
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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