ANGELA M WALLACE

GREENEVILLE, TN
NPI1306431101
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  61990)
Enumeration Date2021-03-03
Last Update Date2021-03-03
Business Address
ANGELA M WALLACE LPN
401 HOLSTON DR
GREENEVILLE, TN 37743-3127
Phone number: 423-639-1104
Mailing Address
ANGELA M WALLACE LPN
1167 SPRATLIN PARK DR
GRAY, TN 37615-6205
Phone number: 423-467-3600