Individual
MS. FIONA MARCIA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
833 CHESTNUT ST, SUITE 1250, PHILADELPHIA, PA 19107-4414
(888) 816-3862
Mailing address
3626 192ND ST, FLUSHING, NY 11358-2427
(718) 460-6030
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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