TINA GAYLE WALLACE

TYLER, TX
NPI1881234219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  349630)
Enumeration Date2020-01-14
Last Update Date2020-01-14
Business Address
TINA GAYLE WALLACE
755 S BECKHAM AVE
TYLER, TX 75701-1903
Phone number: 903-534-4684
Mailing Address
TINA GAYLE WALLACE
755 S BECKHAM AVE
TYLER, TX 75701-1903
Phone number:
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