Hattie Wallace
Hattie Wallace is a Licensed Practical Nurse in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2012
Practice location Address checks out
14625 S Mountain Pkwy Apt 1056Phoenix, AZ 85044-7142
Phone: (602) 565-2159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence LP044351 (AZ) |
|---|
Record details
| NPI number | 1164796520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 2, 2012 |
| Last updated in NPPES | March 2, 2012 |
| Mailing address | 14625 S Mountain Pkwy, Apt 1056, Phoenix, AZ 85044-7142 |
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