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LA TANYA WALLACE, FNP
FNP
Psychiatric/Mental Health Nurse Practitioner
NPI: 1841453487Individual
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
680663(CA)
Nurse Practitioner
Nurse Practitioner
Code: 363L00000X
22485(CA)
Family Nurse Practitioner
Nurse Practitioner — Family
Code: 363LF0000X
680663(CA)22485(CA)
Psychiatric/Mental Health Nurse PractitionerPrimary
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
22485(CA)
Contact & Hours
- Address
- 6921 SPERRY CT
SAN DIEGO, CA 92111 - Phone
- (858) 717-0164
Quick Facts
- NPI
- 1841453487
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 5
- Locations
- 1
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