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Search › Florida › Other Technician

Ima Wallace

NPI 1053063834 · on the registry since 2022 · sole proprietor

Practice

Address
9951 Atlantic Blvd Ste 300
Jacksonville, FL 32225
Phone
(833) 434-5223
Fax
(888) 686-6271
Organisation at this address
Lomisa Inc
M Nan Jobson Pa
Hope Mclaughlin Pa
Jovial Well Being Llc
Agr Transportation, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
Other Technician
247200000X
Sex
Female
Record last updated
2022-06-17
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida