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Wachira Wallis
NPI 1467116400 · on the registry since 2021
Practice
- Address
- 10601 Gandy Blvd N Apt 6412
St Petersburg, FL 33702 - Phone
- (412) 799-3377
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-29
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