Individual provider · Type 1 NPI
Me'lisa Wallace
Ambulatory Care Registered Nurse · Los Angeles, CA
NPI number
1700618527
Active
Practice location
1670 E 120th St
Los Angeles, CA 90059-3026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 95227389 (CA) |
Ambulatory Care Registered Nurse: Definition to come...
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About NPI 1700618527
Me'lisa Wallace's National Provider Identifier is 1700618527, issued on Aug 19, 2024. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 19, 2024.