Jessica Lynn Wallace
Jessica Lynn Wallace is a Community/Behavioral Health Agency in Muse, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
26652 Muse RdMuse, OK 74949
Phone: (918) 567-1719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1659637478 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 5, 2012 |
| Last updated in NPPES | April 5, 2012 |
| Mailing address | Box 26652 St. Hwy. 63, Hodgen, OK 74939 |