Jennifer Katherine Wallace is a Medical Physician Assistant based in Ventura, CA and is specialized in Medical. Jennifer Katherine Wallace practices in Ventura, CA and has the professional credentials of PA-C. The NPI Number for Jennifer Katherine Wallace is 1578796926 and holds a License No. PA20925 (California).
The current practice location address for Jennifer Katherine Wallace is 2660 E Main St, Ventura, CA and can be reached out via phone at 805-643-7500 and via fax at 805-643-7501.
Identifier | Type | State | Issuer |
---|---|---|---|
2826 | 01 | CO | PHYSICIAN ASSISTANT LICENSE |
PA20925 | 01 | CA | CA PHYSICIAN ASSISTANT LICENSE |
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