JAHQWALE WALLACE

VALDOSTA, GA
NPI1053822999
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Enumeration Date2017-10-18
Last Update Date2017-10-18
Business Address
JAHQWALE WALLACE
1501 MYRTLE ST APT C3
VALDOSTA, GA 31601-3071
Phone number: 912-704-9805
Mailing Address
JAHQWALE WALLACE
1501 MYRTLE ST APT C3
VALDOSTA, GA 31601-3071
Phone number: 912-704-9805
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