JETAVIA WALLACE

NEW ORLEANS, LA
NPI1326927948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-08-28
Last Update Date2026-04-30
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
Similar providers in New Orleans, LA
MICAELA WEAVER
BIANCA RICHARDSON
DESHANTREL COLEMAN TUCKER
SHALISE GROSS
BECKY REECE PARNELL
PARKER ELIAS LEE ANDERSON
SPENCER GREGORY ROSS
TATYANA HENRY
GERZALLE A BLANKS
KRISTEN IMANI JACKSON