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Simone Wallace
NPI 1043906027 · on the registry since 2023
Practice
- Address
- 1044 27th Ave Se Apt D
Minneapolis, MN 55414 - Phone
- (612) 508-9723
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Female
- Record last updated
- 2023-04-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota