JESSICA WALLACE
Community/Behavioral Health
Active
Individual
NPI: 1659637478
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community/Behavioral Health | 251S00000X | Yes | - |
Frequently Asked Questions
NPI 1659637478 is the National Provider Identifier for JESSICA WALLACE, a Community/Behavioral Health provider located in Muse, OK. This NPI was enumerated on April 5, 2012.
JESSICA WALLACE practices at 26652 MUSE ROAD, Muse, OK 74949.
Quick Facts
- NPI
- 1659637478
- Type
- Individual
- Enumerated
- Apr 5, 2012
- Last Updated
- Apr 5, 2012
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