JAMIE MARIE WALLACE

ALEXANDRIA, LA
NPI1255523346
Former NameJAMIE MARIE HOLLIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: LA  temp permit)
Enumeration Date2007-08-13
Last Update Date2007-08-13
Business Address
Mrs. JAMIE MARIE WALLACE P.A.
3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301-3900
Phone number: 318-442-6767
Mailing Address
Mrs. JAMIE MARIE WALLACE P.A.
3311 PRESCOTT RD SUITE 201
ALEXANDRIA, LA 71301-3900
Phone number: 318-442-6767