KENNEDY FAYRENE WALLACE

ATLANTA, GA
NPI1386539120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-06-11
Last Update Date2025-06-11
Business Address
KENNEDY FAYRENE WALLACE
720 WESTVIEW DR SW
ATLANTA, GA 30310-1458
Phone number: 404-756-1959
Mailing Address
KENNEDY FAYRENE WALLACE
17703 LAGUNA TRAIL DR
HOUSTON, TX 77095-7163
Phone number: 281-978-1429