Ima Latoya Wallace
Other Technician · Jacksonville, FL
Practice location
9951 Atlantic Blvd Ste 300Jacksonville, FL 32225-6574
- Phone
- (833) 434-5223
- Fax
- (888) 686-6271
NPI record
- NPI
- 1053063834
- Entity type
- Individual (Type 1)
- Enumeration date
- January 22, 2022
- Last updated
- June 17, 2022
- Certified
- June 17, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Other Technician Primary | 247200000X |
— | — |
About Ima Wallace
Ima Latoya Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Other Technician (code 247200000X). The practice location is 9951 Atlantic Blvd Ste 300, Jacksonville, FL 32225-6574. The NPI number 1053063834 was assigned on January 22, 2022 and the record was last updated on June 17, 2022.
Frequently asked questions
What is the NPI number of Ima Latoya Wallace?
The NPI number is 1053063834.
What is the phone number of Ima Wallace?
The phone number listed for the practice location is (833) 434-5223.
Where is Ima Wallace located?
9951 Atlantic Blvd Ste 300, Jacksonville, FL 32225-6574.
What is the taxonomy code for Ima Wallace?
The primary taxonomy code is 247200000X – Other Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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