Jessica Wallace

NPI #1518492180 in Lamoni, Iowa

Provider Information

NPI Number
1518492180
Entity Type
Individual
Name
Jessica Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Apr 20, 2017
Last Updated
Apr 20, 2017

Practice Location

Address
1 UNIVERSITY PL
City
Lamoni
State
Iowa
ZIP Code
50140-1641
Phone
(641) 784-5186

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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