Lesley Diane Wallace
NPI #1417763632 in Mountain View, Arkansas
Provider Information
- NPI Number
- 1417763632
- Entity Type
- Individual
- Name
- Lesley Diane Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Dec 4, 2024
- Last Updated
- Dec 4, 2024
Practice Location
- Address
- 1103 E MAIN ST STE C
- City
- Mountain View
- State
- Arkansas
- ZIP Code
- 72560-4007
- Phone
- (870) 200-6995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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