DIONNE H WALLACE

PERRYVILLE, 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 Date2018-07-17
Business Address
DIONNE H WALLACE CNP
1016 N FOURCHE AVE
PERRYVILLE, AR 72126-8545
Phone number: 501-238-1284
Mailing Address
DIONNE H WALLACE CNP
101 W MAIN ST
HARDY, AR 72542-9566
Phone number: 573-718-2570
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