Individual provider · Type 1 NPI
Kenda Joleen Wallace, RN
Infection Control Registered Nurse · Phoenix, AZ
NPI number
1316007339
Active
Practice location
4212 North 16th St,
Phoenix, AZ 85016
Fax (602) 263-1619
Mailing address
PO Box 31001-0698
Pasadena, CA 91110-0698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infection Control Registered Nurse Primary | 163WI0600X | E42490 (CT) |
Infection Control Registered Nurse: Definition to come...
Other infection control registered nurse providers in Phoenix
About NPI 1316007339
Kenda Joleen Wallace, RN's National Provider Identifier is 1316007339, issued on Dec 11, 2006. The primary taxonomy on file is Infection Control Registered Nurse (163WI0600X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.