Twanna Lenita Wallace
NPI #1376028712 in Hazlehurst, Mississippi
Provider Information
- NPI Number
- 1376028712
- Entity Type
- Individual
- Name
- Twanna Lenita Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Enumeration Date
- Oct 2, 2018
- Last Updated
- Oct 2, 2018
Practice Location
- Address
- 321 JACKSON ST
- City
- Hazlehurst
- State
- Mississippi
- ZIP Code
- 39083-2113
- Phone
- (601) 500-0027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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