JETAVIA WALLACE

NEW ORLEANS, LA
NPI1326927948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-08-28
Last Update Date2025-08-28
Business Address
JETAVIA WALLACE
4403 CANAL ST
NEW ORLEANS, LA 70119-5946
Phone number: 504-896-2345
Mailing Address
JETAVIA WALLACE
4403 CANAL ST
NEW ORLEANS, LA 70119-5946
Phone number: 504-896-2345
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