MRS. Sondra Ann Wallace

NPI #1275074783 in Quitman, Georgia

Provider Information

NPI Number
1275074783
Entity Type
Individual
Name
MRS. Sondra Ann Wallace
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Mar 16, 2017
Last Updated
Mar 16, 2017

Practice Location

Address
96 PERDUE RD
State
Georgia
ZIP Code
31643-3648
Phone
(229) 272-4376

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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