person
Jarred E Wallace, RN
Emergency Registered Nurse in Detroit, Michigan
NPI 1710609045

Jarred E Wallace is a Emergency Registered Nurse based in Waterford, MI and is specialized in Emergency. Jarred E Wallace practices in Detroit, MI and has the professional credentials of RN. The NPI Number for Jarred E Wallace is 1710609045 and holds a License No. 4704321978 (Michigan).

The current practice location address for Jarred E Wallace is 4646 John R St, Detroit, MI and can be reached out via phone at 313-576-4436. You can also correspond with Jarred E Wallace through the mailing address at 4618 MEIGS AVE, WATERFORD, MI - 48329-1819 (mailing address contact number: ).

Location: 4646 John R St, Detroit, MI, 48329-1819
person
Provider Profile Details
NPI Number
1710609045
Provider Name
Jarred E Wallace
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
4646 John R St, Detroit, MI, 48329-1819
Phone Number
313-576-4436
Fax Number
Provider Enumeration Date
09/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4646 John R St
City
State
Zip
48201-1916
Phone Number
313-576-4436
Fax Number
person
Provider Business Mailing Address Details
Address
4646 John R St
City
State
Zip
48201-1916
Phone Number
313-576-4436
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
License No.
4704321978 (Michigan)
Definition
Definition to come...
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