JENNIFER WALLACE, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1578796926
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA20925 (CA) |
Frequently Asked Questions
NPI 1578796926 is the National Provider Identifier for JENNIFER WALLACE, PA-C, a Physician Assistant - Medical provider located in Ventura, CA. This NPI was enumerated on September 2, 2009.
JENNIFER WALLACE, PA-C practices at 2660 E MAIN ST, SUITE 204, Ventura, CA 93003.
Quick Facts
- NPI
- 1578796926
- Type
- Individual
- Enumerated
- Sep 2, 2009
- Last Updated
- Sep 8, 2010
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