Jahqwale Wallace
Jahqwale Wallace is a Contractor in Valdosta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1501 Myrtle St Apt C3Valdosta, GA 31601-3071
Phone: (912) 704-9805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1053822999 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2017 |
| Last updated in NPPES | October 18, 2017 |
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