MARIE L. WALLACE

LAS VEGAS, NV
NPI1548525934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2012-07-11
Last Update Date2015-05-15
Business Address
-- MARIE L. WALLACE CPC permit #IP150410
3606 NORTH RONCHO DR SUITE 102
LAS VEGAS, NV 89130
Phone number: 504-400-5768
Mailing Address
-- MARIE L. WALLACE CPC permit #IP150410
10327 BIRCH BLUFF LN
LAS VEGAS, NV 89145
Phone number: 702-304-1551
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