SIMONA WALLACE

BENTON, AR
NPI1922446103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-06-10
Last Update Date2013-06-12
Business Address
-- SIMONA WALLACE Recovery Assistant
1502 MARY KAY BLVD
BENTON, AR 72015-8909
Phone number: 501-315-3344
Mailing Address
-- SIMONA WALLACE Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344