JACKIE WALLACE

ROCHESTER, NY
NPI1609751080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2025-08-06
Last Update Date2025-08-06
Business Address
JACKIE WALLACE CRPA
2069 HUDSON AVE. D
ROCHESTER, NY 14617
Phone number: 585-694-1307
Mailing Address
JACKIE WALLACE CRPA
150 MT.HOPE AVE
ROCHESTER, NY 14620
Phone number: 585-706-7983
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