ALERIC WALLACE

SHREVEPORT, LA
NPI1578322541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-03-13
Last Update Date2024-03-13
Business Address
ALERIC WALLACE
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Mailing Address
ALERIC WALLACE
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938