Individual
TERRIELLE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3839 MCKINNEY AVE STE 155, DALLAS, TX 75204-1488
(469) 227-0838
Mailing address
PMB 2668 3839 MCKINNEY AVENUE, SUITE 155, DALLAS, TX 75204
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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