David Alexander Wallace
David Alexander Wallace is a Student in an Organized Health Care Education/Training Program in Memphis, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
920 Madison Ave Ste 447Memphis, TN 38103-3438
Phone: (901) 448-2782
Fax: (901) 448-8468
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1619596335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 13, 2020 |
| Last updated in NPPES | April 13, 2020 |
| Certification date | April 13, 2020 |
| Mailing address | 60 S Main St Apt 103, Memphis, TN 38103-5173 |
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