JENNIFER LYNN WALLACE

LITTLE ROCK, AR
NPI1326877622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-07-26
Last Update Date2024-07-26
Business Address
JENNIFER LYNN WALLACE
4301 W MARKHAM ST
LITTLE ROCK, AR 72205-7199
Phone number: 501-628-2600
Mailing Address
JENNIFER LYNN WALLACE
2115 KAVANAUGH BLVD APT C
LITTLE ROCK, AR 72205-3985
Phone number: 501-628-2600