JACQUELINE WALLACE

ATLANTA, GA
NPI1154168482
Other NameJACKIE WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-07-12
Last Update Date2025-04-03
Business Address
JACQUELINE WALLACE
1364 CLIFTON RD NE
ATLANTA, GA 30322-6504
Phone number: 404-712-2000
Mailing Address
JACQUELINE WALLACE
1745 DERRY AVE SW
ATLANTA, GA 30310-1503
Phone number: 978-473-1576