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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS CARONIA PHILESIA WALLACE-FAIR, D.O.

Active

MISS CARONIA PHILESIA WALLACE-FAIR, D.O. is a Pediatric Emergency Medicine healthcare provider located in MADERA, California. NPI 1982996195 is currently active in the NPPES registry. Verify at CMS.

Pediatric Emergency Medicine · MADERA, CA

Registration Details

NPI Number
1982996195
Provider Type
Individual
Gender
Female
NPI Issued
May 5, 2011 (15.293762120417 yrs)
Last Updated
Jul 21, 2022
License
15444 (CA)

Practice Information

Address
9300 VALLEY CHILDRENS PL
MADERA, CA, 936368761
Browse CA providers · Browse ZIP 93636
Phone
5593533000
Primary Specialty
Pediatric Emergency Medicine
207PP0204X
Additional Specialty
Pediatric Emergency Medicine

Other Pediatric Emergency Medicine Providers in MADERA, CA

Name Credential NPI
DR. KELLY L KRIWANEK RAPPLEYE MD 1346240520
ELIS YNGVE OLSON MD 1285629923
MELANIE MORGAN MD 1134135171
DR. MYRA WONG M.D. 1225146616
DR. SHEHMA KHAN MD 1083732648
VIVIAN NWOSU M.D. 1851565600
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.