Arizona
Board of Licensing
Latoya Michelle Wallace PA
Physician Assistant
License number
4254
Date granted
10/07/2008
Class
Physician Assistant
Status
Active
Address
Mayo Clinic, 5777 East Mayo Boulevard, Phoenix AZ 85054
arizonalicensing.com
ID 22753757
LAST UPDATED 2026-05-30 09:09:03 UTC
LAST UPDATED 2026-05-30 09:09:03 UTC