BRUCE WALLS

ROXIE, MS
NPI1184019069
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2015-03-30
Last Update Date2015-03-30
Business Address
-- BRUCE WALLS
104 CRANFIELD RD
ROXIE, MS 39661-9662
Phone number: 601-660-0962
Mailing Address
-- BRUCE WALLS
104 CRANFIELD RD
ROXIE, MS 39661-9662
Phone number: 601-660-0962