Individual
MRS. NOELLE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 E RADIO RD, ELLENSBURG, WA 98926-9589
(509) 925-8497
Mailing address
1506 E RADIO RD, ELLENSBURG, WA 98926-9589
(509) 925-8497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00154255
WA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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