Individual
MRS. DEBRA MARIE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT-SDS
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(870) 679-0073
Mailing address
PO BOX 1844, SITKA, AK 99835-1844
(870) 679-0073
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RCP-1894
AR
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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