MIATA QUINTAE WALLACE

CHESAPEAKE, VA
NPI1710855838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2025-10-29
Last Update Date2025-10-29
Business Address
MIATA QUINTAE WALLACE MS
1524 VOLVO PKWY STE B
CHESAPEAKE, VA 23320-1516
Phone number: 757-404-5355
Mailing Address
MIATA QUINTAE WALLACE MS
957 DUCK POND DR APT 301
VIRGINIA BEACH, VA 23464-3340
Phone number: 757-910-9351
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