Miss Jennifer Marie Wallace, LAC | |
237 Avenida Del Norte, Redondo Beach, CA 90277-5702 | |
(310) 483-4957 | |
Not Available |
Full Name | Miss Jennifer Marie Wallace |
---|---|
Gender | Female |
Speciality | Acupuncturist |
Location | 237 Avenida Del Norte, Redondo Beach, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124579602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | 17329 (California) | Primary |
Mailing Address | Practice Location Address |
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Miss Jennifer Marie Wallace, LAC 237 Avenida Del Norte, Redondo Beach, CA 90277-5702 Ph: (310) 483-4957 | Miss Jennifer Marie Wallace, LAC 237 Avenida Del Norte, Redondo Beach, CA 90277-5702 Ph: (310) 483-4957 |
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