Individual
MRS. TERRIE M WALLACE-JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 RADFORD DR, RICHMOND HEIGHTS, OH 44143-1988
(440) 903-9398
Mailing address
503 E 200TH ST STE 103, EUCLID, OH 44119-1562
(440) 903-9398
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
OH
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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