person
Ima Latoya Wallace
Other Technician in Jacksonville, Florida
NPI 1053063834

Ima Latoya Wallace is a Other Technician based in Jacksonville, FL. Ima Latoya Wallace practices in Jacksonville, FL. The NPI Number for Ima Latoya Wallace is 1053063834 and holds a License No. (Florida).

The current practice location address for Ima Latoya Wallace is 9951 Atlantic Blvd Ste 300, Jacksonville, FL and can be reached out via phone at 833-434-5223 and via fax at 888-686-6271.

Location: 9951 Atlantic Blvd Ste 300, Jacksonville, FL, 32225-6574
person
Provider Profile Details
NPI Number
1053063834
Provider Name
Ima Latoya Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
9951 Atlantic Blvd Ste 300, Jacksonville, FL, 32225-6574
Phone Number
833-434-5223
Fax Number
888-686-6271
Provider Enumeration Date
01/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9951 Atlantic Blvd Ste 300
City
State
Zip
32225-6574
Phone Number
833-434-5223
Fax Number
888-686-6271
person
Provider Business Mailing Address Details
Address
9951 Atlantic Blvd Ste 300
City
State
Zip
32225-6574
Phone Number
833-434-5223
Fax Number
888-686-6271
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
License No.
()
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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