CESALIE DEONNE WALLACE

JACKSONVILLE, AR
NPI1407104052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A003758)
Enumeration Date2012-08-29
Last Update Date2012-08-29
Business Address
Dr. CESALIE DEONNE WALLACE APN
3000 NORTH FIRST STREET
JACKSONVILLE, AR 72076
Phone number: 501-982-7477
Mailing Address
Dr. CESALIE DEONNE WALLACE APN
3000 NORTH FIRST STREET
JACKSONVILLE, AR 72076
Phone number: 501-982-7477