JUANETTA WALLACE
Specialist/Technologist, Other - Surgical Assistant
Active
Individual
NPI: 1629848502
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist, Other - Surgical Assistant | 246ZC0007X | Yes | 195708 () |
Frequently Asked Questions
NPI 1629848502 is the National Provider Identifier for JUANETTA WALLACE, a Specialist/Technologist, Other - Surgical Assistant provider located in Seabrook, TX. This NPI was enumerated on January 3, 2024.
JUANETTA WALLACE practices at 3101 NASA PKWY STE F, Seabrook, TX 77586.
Quick Facts
- NPI
- 1629848502
- Type
- Individual
- Enumerated
- Jan 3, 2024
- Last Updated
- Jan 3, 2024
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