MISS Jennifer Nicole Wallace is a student in an organized health care education training program in Orange, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MISS Jennifer Nicole Wallace NPI is 1902299811. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
101 THE CITY DR S # ZC4482
ORANGE, CA
ZIP 92868-201
Phone: (714) 456-5837
The enumeration date for this NPI number is 3/17/2015 and was last updated on 3/17/2015.