Kandice Wallis
Kandice Wallis is a Case Manager/Care Coordinator in Ada, Oklahoma. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
314 S Broadway St Ste 106Ada, OK 74820
Phone: (888) 272-0210
Fax: (580) 235-0211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1023412012 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 20, 2014 |
| Last updated in NPPES | October 20, 2014 |
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