Jacqueline Wallace

NPI 1518200740 · on the registry since 2013

Practice

Address: 1520 Main St
Windsor, CO 80550
Phone: (970) 674-2840
Fax: (970) 674-2843
Organisation at this address: Dillon Companies Llc
Norco Chiropractic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Pharmacist
183500000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-04-06

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 Colorado