Ima Latoya Wallace is a technician other in Jacksonville, FL. The provider is 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. Ima Latoya Wallace NPI is 1053063834. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
9951 ATLANTIC BLVD STE 300
JACKSONVILLE, FL
ZIP 32225-574
Phone: (833) 434-5223
Fax: (888) 686-6271
The enumeration date for this NPI number is 1/22/2022 and was last updated on 6/17/2022.