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Search › California › 2086S0122X

Debra Wallace, FNP

NPI 1770006538 · on the registry since 2017 · sole proprietor

Practice

Address
1100 N State Street
Clinic Tower A6a231a
Los Angeles, CA 90033
Phone
(323) 409-7788
Fax
(323) 441-7298
Organisation at this address
County Of Los Angeles
Lac-Usc Medical Center
Usc Care Medical Group, Inc.
Los Angeles County University Of Southern California Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
162

Registry record

Primary taxonomy
2086S0122X
2086S0122X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-16

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