Jennifer Katherine Wallace, PA-C is a medical physician assistant in Ventura, CA. Jennifer Katherine Wallace, PA-C NPI is 1578796926. 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:
2660 E MAIN ST
SUITE 204
VENTURA, CA
ZIP 93003-893
Phone: (805) 643-7500
Fax: (805) 643-7501
The enumeration date for this NPI number is 9/2/2009 and was last updated on 9/8/2010.