JAMIE WALLER

GADSDEN, AL
NPI1679933220
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2016-02-24
Last Update Date2016-02-24
Business Address
JAMIE WALLER
723 BEREA AVE
GADSDEN, AL 35901-4155
Phone number: 256-312-8988
Mailing Address
JAMIE WALLER
1303 BELLEVUE DR
GADSDEN, AL 35904-3622
Phone number: 256-295-8889