MRS. Wallace Jean Trice

NPI #1861530362 in Augusta, Arkansas

Provider Information

NPI Number
1861530362
Entity Type
Individual
Name
MRS. Wallace Jean Trice
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Feb 5, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
64 EAST HWY
ZIP Code
72006
Phone
(870) 347-5908

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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