Individual
MS. ANGELA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10707 CORPORATE DR STE 250-103, STAFFORD, TX 77477-4095
(281) 464-6648
Mailing address
PO BOX 450170, HOUSTON, TX 77245-0170
(281) 464-6648
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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