Individual
ELIZABETH ANN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8311 N HIGH ST, COLUMBUS, OH 43235-6459
(614) 888-9355
Mailing address
1098 E RICH ST, COLUMBUS, OH 43205-1865
(940) 634-7258
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-05289
OH
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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