Dr DANA M WALLACE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.
REDICLINIC OF PA, LLC
5040 CITY LINE AVE
PHILADELPHIA
PA
191311435
Tel: 2158772116
| Npi | 1861989279 |
| Pac Id | 9133483928 |
| Professional Enrollment Id | I20180502001835 |
| Last Name | WALLACE |
| First Name | DANA |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | REDICLINIC OF PA, LLC |
| Group Practice Pac Id | 1456653237 |
| Number Of Group Practice Members | 52 |
| Line 1 Street Address | 5040 CITY LINE AVE |
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| City | PHILADELPHIA |
| State | PA |
| Zip Code | 191311435 |
| Phone Number | 2158772116 |
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| Professional Accepts Medicare Assignment | Y |
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