M WALLACE

FLORISSANT, MO
NPI1629359146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2011-08-30
Last Update Date2013-08-22
Business Address
-- M WALLACE
394 SAINT FERDINAND ST
FLORISSANT, MO 63031-5918
Phone number: 314-831-6300
Mailing Address
-- M WALLACE
394 SAINT FERDINAND ST
FLORISSANT, MO 63031-5918
Phone number:
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