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Vanessa Nicole Wallace
Student in an Organized Health Care Education/Training Program in Adrian, Michigan
NPI 1891212452

Vanessa Nicole Wallace is a Student in an Organized Health Care Education/Training Program based in Adrian, MI. Vanessa Nicole Wallace practices in Adrian, MI. The NPI Number for Vanessa Nicole Wallace is 1891212452 and holds a License No. (Michigan).

The current practice location address for Vanessa Nicole Wallace is 1040 S Winter St Ste 1022, Adrian, MI and can be reached out via phone at 517-263-8905.

Location: 1040 S Winter St Ste 1022, Adrian, MI, 49221-3876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891212452
Provider Name
Vanessa Nicole Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
1040 S Winter St Ste 1022, Adrian, MI, 49221-3876
Phone Number
517-263-8905
Fax Number
Provider Enumeration Date
08/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1040 S Winter St Ste 1022
City
Adrian
State
Michigan
Zip
49221-3876
Phone Number
517-263-8905
Fax Number
person
Provider Business Mailing Address Details
Address
1040 S Winter St Ste 1022
City
Adrian
State
Michigan
Zip
49221-3876
Phone Number
517-263-8905
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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