Jennifer Wallace is a Technician/Technologist based in Mesa, AZ. Jennifer Wallace practices in Mesa, AZ. The NPI Number for Jennifer Wallace is 1356968440 and holds a License No. (Arizona).
The current practice location address for Jennifer Wallace is 2041 E 3Rd Dr, Mesa, AZ and can be reached out via phone at 480-685-7530.
Location: 2041 E 3Rd Dr, Mesa, AZ, 85204-1401
Provider Profile Details
NPI Number
1356968440
Provider Name
Jennifer Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
2041 E 3Rd Dr, Mesa, AZ, 85204-1401
Phone Number
480-685-7530
Fax Number
Provider Enumeration Date
07/06/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
2041 E 3Rd Dr
City
State
Zip
85204-1401
Phone Number
480-685-7530
Fax Number
Provider Business Mailing Address Details
Address
2041 E 3Rd Dr
City
State
Zip
85204-1401
Phone Number
480-685-7530
Fax Number
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
License No.
(Arizona)
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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