La Tanya Wallace, Nurse Practitioner & Associates, Incorporated
La Tanya Wallace, Nurse Practitioner & Associates, Incorporated is a Psychiatry Physician in San Diego, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3356 2nd Ave Ste GSan Diego, CA 92103-5636
Phone: (858) 717-0164
Fax: (888) 425-0508
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Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1659978328 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | La Tanya Wallace |
| Authorized official | La Tanya Wallace — President · (619) 398-7473 |
| Other names | La Tanya Wallace, Np; La Tanya Wallace, Np |
| NPI enumerated | October 6, 2020 |
| Last updated in NPPES | January 28, 2024 |
| Certification date | January 28, 2024 |
| Mailing address | 6921 Sperry Ct, San Diego, CA 92111-7030 |
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