Individual
JULIA ANN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 DEWEY AVE, OMAHA, NE 68105-1017
(402) 552-2000
Mailing address
4350 DEWEY AVE, OMAHA, NE 68105-1017
(402) 552-2000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NE
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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