David G Wallace
David G Wallace is a Licensed Vocational Nurse in San Francisco, California. Licensed in Arizona. Registered with an NPI since 2021.
- Licensed in
- AZ
- In the registry since
- 2021
Practice location Address checks out
52 Dore StSan Francisco, CA 94103-3828
Phone: (415) 861-0828
Fax: (415) 861-0140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X · Licence 95230212 (AZ) |
|---|
Record details
| NPI number | 1356011977 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 15, 2021 |
| Last updated in NPPES | September 15, 2021 |
| Certification date | September 15, 2021 |
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52 Dore St, San Francisco, CA 94103-3828 · (415) 861-0828
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52 Dore St, San Francisco, CA 94103-3828 · (416) 861-0828
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