Jessica Lynn Wallace
NPI #1659637478 in Muse, Oklahoma
Provider Information
- NPI Number
- 1659637478
- Entity Type
- Individual
- Name
- Jessica Lynn Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 5, 2012
- Last Updated
- Apr 5, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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