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Jaynel Wallace
NPI 1710682471 · on the registry since 2023
Practice
- Address
- 4143 Gardendale St
San Antonio, TX 78229 - Phone
- (210) 319-9807
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-03
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 Texas