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Individual

DR. RACHEL WALLACE TELLEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
153 CESAR CHAVEZ ST, W. ST. PAUL, MN 55107-2226
(651) 222-1816
(651) 222-1305
Mailing address
3714 FARMSTEAD PATH, WOODBURY, MN 55129-6723
(202) 316-5633
(651) 222-1305

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56008
MN

Other

Enumeration date
12/12/2006
Last updated
06/01/2023
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