JESSICA WALLACE

BECKLEY, WV
NPI1386300093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2021-11-17
Last Update Date2021-11-17
Business Address
JESSICA WALLACE
130 GEORGE ST STE J
BECKLEY, WV 25801-2648
Phone number: 304-929-2670
Mailing Address
JESSICA WALLACE
510 EWART AVE APT 42
BECKLEY, WV 25801-3451
Phone number: 304-362-2662
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