ALVIN JOSEPH WALLACE

EDGEWOOD, KY
NPI1598824096
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date2006-12-08
Last Update Date2007-07-08
Business Address
-- ALVIN JOSEPH WALLACE CSA
20 MEDICAL VILLAGE DR STE 338
EDGEWOOD, KY 41017-5414
Phone number: 859-341-2802
Mailing Address
-- ALVIN JOSEPH WALLACE CSA
119 MARKET ST
RIPLEY, OH 45167-1125
Phone number: 937-392-1547