LATAUNYA B WALLACE

CLINTON, MS
NPI1891010435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT1460)
Enumeration Date2010-04-06
Last Update Date2010-04-06
Business Address
-- LATAUNYA B WALLACE P.T.
102 WOODCHASE PARK DR
CLINTON, MS 39056-4113
Phone number: 601-924-7043
Mailing Address
-- LATAUNYA B WALLACE P.T.
359 BROOKWOOD LAKE PL
JACKSON, MS 39272-5648
Phone number: 601-924-7043
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