New Mexico
Regulation & Licensing Department
Tracee Marie Wallace
Physician Assistant - Medical
License number
PA2009-0015
Date granted
07/24/2009
Date expires
03/01/2014
Class
Physician Assistant - Medical
Status
Active
licensingnm.com
ID 5290143
LAST UPDATED 2026-03-31 09:38:39 UTC
LAST UPDATED 2026-03-31 09:38:39 UTC
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