JESSICA WALLACE
specializing in licensed practical nurse in Boulder, Colorado
NPI: 1184820565
Provider Type
1
Practice Locations
Mailing Location
580 MOHAWK DR
BOULDER, CO 80303
Practice Location
Provider Information
Gender:F
Sole Proprietor:No
Enumeration Date:6/22/2007
Last Updated:5/2/2008
Credentials
Primary Credential: