MRS. Debra Ann Wallace, FNP is a plastic and reconstructive surgery surgery in Los Angeles, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. MRS. Debra Ann Wallace, FNP NPI is 1770006538. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1100 N STATE STREET
CLINIC TOWER A6A231A
LOS ANGELES, CA
ZIP 90033
Phone: (323) 409-7788
Fax: (323) 441-7298
The enumeration date for this NPI number is 7/24/2017 and was last updated on 6/16/2018.