Individual
JAMELIA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 W 7TH STREET, CENTRAL ARKANSAS VETERANS HOSPITAL, LITTLE ROCK, AR 72205
(501) 257-1484
Mailing address
801 S RODNEY PARHAM RD, APT 34G, LITTLE ROCK, AR 72205-4881
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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