Hayley Wallace

NPI 1003097825 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1003097825
Gender Female
Enumeration Date 11/20/2007
Last Updated 11/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2725 JACKSON ST
OSHKOSH WI, 54901-1513, US
Phone (920) 223-7743
Fax
Business Location
2725 JACKSON ST
OSHKOSH WI, 54901-1513, US
Phone (920) 223-7743
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Wisconsin
License Number 889
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According to our database, Hayley Wallace NPI is 1003097825, taxonomy code is 2255A2300X and license number is 889, license state is located at Wisconsin. Hayley Wallace physically located at 2725 Jackson St, Oshkosh WI, 54901-1513. NPI Number Hayley Wallace has the Individual type.

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1003097825 NPI number is provided on an as is basis without warranty of any kind. 1003097825 is maintained by the National Plan & Provider Enumeration System. The contents of Hayley Wallace are for informational purposes only.