JOHNNA WALLACE

OKLAHOMA CITY, OK
NPI1740610005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: OK  4140)
Enumeration Date2013-11-22
Last Update Date2019-05-29
Business Address
JOHNNA WALLACE AUD
11500 N PORTLAND AVE
OKLAHOMA CITY, OK 73120
Phone number: 405-548-4300
Mailing Address
JOHNNA WALLACE AUD
11500 N PORTLAND AVE
OKLAHOMA CITY, OK 73120-4625
Phone number: 405-548-4300