NPI 1033435250

Patti Wallace

Practitioner Specialist Jonesboro, AR

Practice location

Address: 806 Glendale St, Jonesboro, AR 72401-4455
Phone: (870) 933-9528

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Arkansas →

Registry record

NPI: 1033435250
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2010
Record last updated: 13 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.