MISS Caronia Philesia Wallace-Fair, D.O.
NPI #1982996195 in Madera, California
Provider Information
- NPI Number
- 1982996195
- Entity Type
- Individual
- Name
- MISS Caronia Philesia Wallace-Fair, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medicine - Pediatric Emergency Medicine
- Credential
- D.O.
- Enumeration Date
- May 5, 2011
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 9300 VALLEY CHILDRENS PL
- City
- Madera
- State
- California
- ZIP Code
- 93636-8761
- Phone
- (559) 353-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Emergency Medicine - Pediatric Emergency Medicine — Pediatric Emergency Medicine |
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