LESLEY DIANE WALLACE

MOUNTAIN VIEW, AR
NPI1417763632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: AR  216734)
Enumeration Date2024-12-04
Last Update Date2024-12-04
Business Address
LESLEY DIANE WALLACE
1103 E MAIN ST STE C
MOUNTAIN VIEW, AR 72560-4007
Phone number: 870-200-6995
Mailing Address
LESLEY DIANE WALLACE
1103 E MAIN ST STE C
MOUNTAIN VIEW, AR 72560-4007
Phone number: 870-200-6995