TWANNA LENITA WALLACE

HAZLEHURST, MS
NPI1376028712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Enumeration Date2018-10-02
Last Update Date2018-10-02
Business Address
TWANNA LENITA WALLACE
321 JACKSON ST
HAZLEHURST, MS 39083-2113
Phone number: 601-500-0027
Mailing Address
TWANNA LENITA WALLACE
4083 JOHN I HAY RD
HAZLEHURST, MS 39083-9361
Phone number: 601-500-0027
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