SHANTONITT WALLACE

VALDOSTA, GA
NPI1477262590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171W00000X Contractor
Enumeration Date2022-11-17
Last Update Date2022-11-17
Business Address
SHANTONITT WALLACE
2209 PULASKI CIR
VALDOSTA, GA 31602-7312
Phone number: 229-618-0021
Mailing Address
SHANTONITT WALLACE
2209 PULASKI CIR
VALDOSTA, GA 31602-7312
Phone number: 229-618-0021