KACEY WALLACE

TYLER, TX
NPI1114500881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  337692)
Enumeration Date2021-04-30
Last Update Date2021-04-30
Business Address
KACEY WALLACE
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number: 903-592-8001
Mailing Address
KACEY WALLACE
9846 HWY 31 E
TYLER, TX 75705-2329
Phone number:
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