Individual provider · Type 1 NPI

Sonya Gohel Wallace, FNP-C

Family Nurse Practitioner · San Rafael, CA

NPI number 1861652018 Active

Practice location

16 Ritter St
San Rafael, CA 94901-3323

Fax (415) 457-3490

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X18012 (CA)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1861652018

Sonya Gohel Wallace, FNP-C's National Provider Identifier is 1861652018, issued on Jun 11, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Rafael, CA. The record was last updated on Feb 9, 2009.