JESSICA WALLACE

LEBANON, OR
NPI1033860622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-01-14
Last Update Date2022-01-14
Business Address
JESSICA WALLACE
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0235
Mailing Address
JESSICA WALLACE
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 503-703-1727