JIMMIE LOU WALLACE

NORTH LITTLE ROCK, AR
NPI1326129958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  CO1312 CRNA)
Enumeration Date2006-10-18
Last Update Date2007-07-08
Business Address
-- JIMMIE LOU WALLACE CRNA
5201 N SHORE DR
NORTH LITTLE ROCK, AR 72118-5312
Phone number: 501-748-8000
Mailing Address
-- JIMMIE LOU WALLACE CRNA
4 SHACKLEFORD PLZ SUITE 212
LITTLE ROCK, AR 72211-1826
Phone number: 501-223-9991
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