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Colleen Wallace
NPI 1992394423 · on the registry since 2021 · sole proprietor
Practice
- Address
- 287 S Central Ave
Umatilla, FL 32784 - Phone
- (352) 747-0747
- Organisation at this address
- Wallace Health, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207QA0505X
207QA0505X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-01-21
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