LA'TAJA WALLACE

GAUTIER, MS
NPI1902351745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-08-22
Last Update Date2016-08-22
Business Address
-- LA'TAJA WALLACE
3407 SHAMROCK CT
GAUTIER, MS 39553-5337
Phone number: 228-497-0690
Mailing Address
-- LA'TAJA WALLACE
3407 SHAMROCK CT
GAUTIER, MS 39553-5337
Phone number:
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