SIMMONE WALLACE

BRONX, NY
NPI1164995650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-01-07
Last Update Date2019-01-07
Business Address
SIMMONE WALLACE
529 COURTLANDT AVE
BRONX, NY 10451-5007
Phone number: 917-204-1937
Mailing Address
SIMMONE WALLACE
668 E 226TH ST APT 4B
BRONX, NY 10466-3968
Phone number: