JIMMIE LOU WALLACE

LITTLE ROCK, AR
NPI1326129958
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  CO1312)
Enumeration Date2006-10-18
Last Update Date2024-12-02
Business Address
JIMMIE LOU WALLACE CRNA
4301 W MARKHAM ST # 515
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
Mailing Address
JIMMIE LOU WALLACE CRNA
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
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