SearchLouisiana101Y00000X

Charmaine Wallace

NPI 1932657343 · on the registry since 2016 · sole proprietor

Practice

Address
10467 River Road
Ama, LA 70031
Phone
(504) 431-3030

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Female
Record last updated
2016-09-14

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 Louisiana