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Zandra Wallace
NPI 1053063412 · on the registry since 2022 · sole proprietor
Practice
- Address
- 20316 Natures Corner Dr
Tampa, FL 33647 - Phone
- (813) 575-8108
Registry record
- Primary taxonomy
- 320900000X
320900000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-26
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 Florida