Jahqwale Wallace
NPI #1053822999 in Valdosta, Georgia
Provider Information
- NPI Number
- 1053822999
- Entity Type
- Individual
- Name
- Jahqwale Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Enumeration Date
- Oct 18, 2017
- Last Updated
- Oct 18, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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