Individual
IAN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CGC
Contact information
Practice address
1620 SE SUMMIT CT, PULLMAN, WA 99163-5540
(509) 332-5106
(509) 334-5723
Mailing address
1620 SE SUMMIT CT, PULLMAN, WA 99163-5540
(509) 332-5106
(509) 334-5723
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
08/02/2010
Last updated
10/06/2011
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