| Cardene Crestel Wallace, | |
|
106 Winthrop Ave, New Rochelle, NY 10801-3313 | |
| (914) 433-5331 | |
| Not Available |
| Full Name | Cardene Crestel Wallace |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 106 Winthrop Ave, New Rochelle, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174792782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 169322-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cardene Crestel Wallace, 106 Winthrop Ave, New Rochelle, NY 10801-3313 Ph: (914) 433-5331 | Cardene Crestel Wallace, 106 Winthrop Ave, New Rochelle, NY 10801-3313 Ph: (914) 433-5331 |
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