DIONNE H WALLACE

MAUMELLE, AR
NPI1417456989
Former NameDIONNE H HUMPHREY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A005504)
Enumeration Date2018-02-09
Last Update Date2025-03-04
Business Address
DIONNE H WALLACE CNP
1900 CLUB MANOR DR STE 105
MAUMELLE, AR 72113-7443
Phone number: 501-851-8100
Mailing Address
DIONNE H WALLACE CNP
1900 CLUB MANOR DR STE 105
MAUMELLE, AR 72113-7443
Phone number: 501-224-1690
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