Jennifer Laird Wallace, | |
4468 Duff Rd, Livingston, TX 77351-5627 | |
(936) 215-1467 | |
Not Available |
Full Name | Jennifer Laird Wallace |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 4468 Duff Rd, Livingston, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497249882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 330403 (Texas) | Primary |
Mailing Address | Practice Location Address |
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Jennifer Laird Wallace, 4468 Duff Rd, Livingston, TX 77351-5627 Ph: () - | Jennifer Laird Wallace, 4468 Duff Rd, Livingston, TX 77351-5627 Ph: (936) 215-1467 |
Jodi Jenkins, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 117 Lillian Dr, Livingston, TX 77351 Phone: 936-433-6896 | |
Shadow Scott, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5238 Old Israel Rd, Livingston, TX 77351 Phone: 936-252-0951 |