AMA GEAN WALLACE

NORTH LITTLE ROCK, AR
NPI1982796405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AR  0257)
Enumeration Date2006-09-29
Last Update Date2007-07-08
Business Address
Ms. AMA GEAN WALLACE RD
2200 FORT ROOTS DR
NORTH LITTLE ROCK, AR 72114-1709
Phone number: 501-257-2017
Mailing Address
Ms. AMA GEAN WALLACE RD
22 LATOUR
LITTLE ROCK, AR 72223-8904
Phone number: 501-257-2017
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