Individual
MS. VALERIE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
61 EAST SENNEBEC ROAD, UNION, ME 04862-4616
(207) 785-2744
Mailing address
61 EAST SENNEBEC RD., UNION, ME 04862-4616
(207) 785-2744
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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