LATOYA WALLACE, PA
Physician Assistant
Active
Individual
NPI: 1073764114
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | No | 4254 (AZ) |
| Physician Assistant - Medical | 363AM0700X | No | PA9109974 (FL) |
| Physician Assistant | 363A00000X | Yes | PA9109974 (FL) |
Frequently Asked Questions
NPI 1073764114 is the National Provider Identifier for LATOYA WALLACE, PA, a Physician Assistant provider located in Pensacola, FL. This NPI was enumerated on October 7, 2008.
LATOYA WALLACE, PA practices at 1010 N 12TH AVE STE 125, Pensacola, FL 32501.
Quick Facts
- NPI
- 1073764114
- Type
- Individual
- Enumerated
- Oct 7, 2008
- Last Updated
- Apr 15, 2020
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