Individual provider · Type 1 NPI

Kathleen Wallace

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1942950985 Active

Practice location

550 16th St Fl 4
San Francisco, CA 94143-2549

Call (415) 502-2362 Map

Fax (415) 476-5354

Mailing address

34 Santa Rita Ave
San Francisco, CA 94116-1464

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1942950985

Kathleen Wallace's National Provider Identifier is 1942950985, issued on Mar 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Mar 24, 2022.