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Individual
RHONDA L WALLACE
Active
Individual
RHONDA L WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0451697
KS
207Q00000X
Family Medicine Physician
2025007208
MO
207Q00000X
Family Medicine Physician
Primary
40878
SC
207Q00000X
Family Medicine Physician
LL40878
SC
363A00000X
Physician Assistant
PAC0350
ND
Other
Enumeration date
07/19/2006
Last updated
09/03/2025
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