Individual
FRANCES CLOW WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 FRANCIS ST, BWH DEPARTMENT OF ANESTHESIOLOGY, BOSTON, MA 02115-6110
(617) 732-8210
Mailing address
4909 LACLEDE AVE, APT 1105, SAINT LOUIS, MO 63108-1426
(650) 804-8174
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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