MS. JENNIFER WALLACE

Clinical Medical Laboratory

Active Individual
NPI: 1356968440

Practice Address

3123 FAIRVIEW AVE E STE 200
Seattle, WA 98102

Phone: (480) 685-7530

Specialties

Specialty Code Primary License
Technician/Technologist 156F00000X No -
Driver 172A00000X No WDL722Z7B13B (WA)
Technician, Pathology - Phlebotomy 246RP1900X No PC61547365 (WA)
Technician, Other 247200000X No 032016 (AZ)
Home Health 251E00000X No -
Nursing Care 251J00000X No 03D2197602 (AZ)
Clinical Medical Laboratory 291U00000X Yes 1568068609 (AZ)
Home Health Aide 374U00000X No EXPERIENCED (AZ)

Frequently Asked Questions

NPI 1356968440 is the National Provider Identifier for MS. JENNIFER WALLACE, a Clinical Medical Laboratory provider located in Seattle, WA. This NPI was enumerated on July 6, 2020.
MS. JENNIFER WALLACE practices at 3123 FAIRVIEW AVE E STE 200, Seattle, WA 98102.

Quick Facts

NPI
1356968440
Type
Individual
Enumerated
Jul 6, 2020
Last Updated
Jun 24, 2025

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