DEMETRIA WALLACE

GRAND PRAIRIE, TX
NPI1710344635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-01-22
Last Update Date2016-01-22
Business Address
-- DEMETRIA WALLACE RN
2635 VILLA DI LAGO UNIT 4
GRAND PRAIRIE, TX 75054-6630
Phone number: 866-386-8404
Mailing Address
-- DEMETRIA WALLACE RN
2635 VILLA DI LAGO UNIT 4
GRAND PRAIRIE, TX 75054-6630
Phone number: 866-386-8404
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