Individual
SASHA A. WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CRNA
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
3623 MOUNT LAUREL RD, CLEVELAND HEIGHTS, OH 44121-1328
(216) 650-6222
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
019863
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
846752
NV
Other
Enumeration date
02/22/2019
Last updated
01/03/2025
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