Kenda Joleen Wallace RN

NPI 1316007339 - Registered Nurse - 163WI0600X

NPI Details
NPI 1316007339
Gender Female
Enumeration Date 12/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4212 NORTH 16TH ST,
PHOENIX AZ, 85016, US
Phone (602) 263-1511
Fax (602) 263-1619
Business Location
PO BOX 31001-0698
PASADENA CA, 91110-0698, US
Phone (602) 263-1511
Fax (602) 263-1619
Toxanomy
Taxonomy Code 163WI0600X
License State Connecticut
License Number E42490
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According to our database, Ms. Kenda Joleen Wallace RN NPI is 1316007339, taxonomy code is 163WI0600X and license number is E42490, license state is located at Connecticut. Kenda Joleen Wallace RN physically located at 4212 North 16th St,, Phoenix AZ, 85016. NPI Number Kenda Joleen Wallace RN has the Individual type.

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1316007339 NPI number is provided on an as is basis without warranty of any kind. 1316007339 is maintained by the National Plan & Provider Enumeration System. The contents of Kenda Joleen Wallace RN are for informational purposes only.