JARRED E WALLACE

DETROIT, MI
NPI1710609045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: MI  4704321978)
Enumeration Date2022-09-14
Last Update Date2022-10-18
Business Address
JARRED E WALLACE RN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-4436
Mailing Address
JARRED E WALLACE RN
4618 MEIGS AVE
WATERFORD, MI 48329-1819
Phone number:
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