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Individual
ESTHER WALLACE
Active
Individual
ESTHER WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14394000
NJ
363L00000X
Nurse Practitioner
Primary
26NJ00871500
NJ
Other
Enumeration date
08/14/2018
Last updated
01/31/2025
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