LISA WALLACE

Licensed Practical Nurse

NPI: 1992368872Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

4703086959(MI)

Contact & Hours

Address: 8700 MOSHERVILLE RD
HORTON, MI 49246
Phone: (517) 358-5830

Quick Facts

NPI: 1992368872
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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