JORDAN PAIGE WALLACE

TULSA, OK
NPI1831084458
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-06-12
Last Update Date2025-06-12
Business Address
JORDAN PAIGE WALLACE
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-582-1972
Mailing Address
JORDAN PAIGE WALLACE
1933 S INDEPENDENCE ST
SAPULPA, OK 74066-6201
Phone number: 405-320-8687