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Search › California › Medical Physician Assistant

Jennifer Wallace, PA-C

NPI 1578796926 · on the registry since 2009

Practice

Address
2660 E Main St
Suite 204
Ventura, CA 93003
Phone
(805) 643-7500
Fax
(805) 643-7501
Organisation at this address
Monarch Recovery Stc Llc
Jeffrey R. Richardson M D
La Vie Acupuncture Clinic, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-08
Status
Not present in the most recent federal file

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 California