ORA WALLACE

ST PETERSBURG, FL
NPI1831905579
Former NameORA JAGNE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy246RP1900X Technician, Pathology, Phlebotomy
Enumeration Date2024-12-07
Last Update Date2024-12-07
Business Address
ORA WALLACE
653 63RD AVE S
ST PETERSBURG, FL 33705-5727
Phone number: 727-637-5874
Mailing Address
ORA WALLACE
653 63RD AVE S
ST PETERSBURG, FL 33705-5727
Phone number: 727-637-5874