Individual
ALISHA ROSE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
210 BLACK HUT RD, HARRISVILLE, RI 02830-1240
(339) 237-2784
Mailing address
210 BLACK HUT RD, HARRISVILLE, RI 02830-1240
(339) 237-2784
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN2314105
MA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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