LAJUANA WALLACE

DALLAS, TX
NPI1902014079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2057823)
Enumeration Date2007-05-20
Last Update Date2007-09-06
Business Address
-- LAJUANA WALLACE
8039 SCYENE CIR
DALLAS, TX 75227-5534
Phone number: 972-437-9389
Mailing Address
-- LAJUANA WALLACE
1304 TANGLEWOOD DR APT A
WESTWEGO, LA 70094-5249
Phone number: