SANDRA FAY WALLER

PINEVILLE, LA
NPI1518090307
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
Mrs. SANDRA FAY WALLER
2129 RAINBOW DR 242 W SHAMROCK STREET
PINEVILLE, LA 71360-6449
Phone number: 318-484-6469
Mailing Address
Mrs. SANDRA FAY WALLER
5434 SHREVEPORT HWY
PINEVILLE, LA 71360-3532
Phone number: 318-641-6706
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