Individual
CHERYL WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3886
Mailing address
1114 ORCHARD DR, CEDAR FALLS, IA 50613-5420
(319) 464-4054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
100020
IA
Other
Enumeration date
07/03/2025
Last updated
07/08/2025
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