Wallace, Jennifer

Wallace, Jennifer is an sole proprietor health care provider with primary practice located at 2041 E 3Rd Dr , Mesa AZ 85204-1401. She recently has only one registered license in Eye and Vision Services Providers / Technician/Technologist, which is considered as her primary health care specialty. Wallace, Jennifer can be contacted via phone (480) 685-7530.

Contact Information

Primary practice address
2041 E 3Rd Dr Mesa AZ 85204-1401
Phone: (480) 685-7530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X Arizona

Profile Details

NPI number 1356968440
LBN Legal business name Wallace, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2020
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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