Individual
FRANCENE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 MEYER ST, SAINT LOUIS, MO 63130-1826
(314) 732-9159
Mailing address
1131 MEYER ST, SAINT LOUIS, MO 63130-1826
(314) 732-9159
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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