JEREMY JOEL WALLACE

OAK RIDGE, TN
NPI1346004900
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-02-13
Last Update Date2024-02-13
Business Address
JEREMY JOEL WALLACE BA
100 ADAMS LN
OAK RIDGE, TN 37830-4909
Phone number: 865-483-7743
Mailing Address
JEREMY JOEL WALLACE BA
200 TECH CENTER DR
KNOXVILLE, TN 37912-2747
Phone number: 865-637-9711