Individual
SADICA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17602-4604
(717) 617-2708
Mailing address
130 CHESTNUT ST APT 9 POTTSTOWN, PA 19464, POTTSTOWN, PA 19464
(267) 566-5472
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN301184
PA
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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