Individual
CHRISTINA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 NIMITZVIEW DR, CINCINNATI, OH 45230-4314
(419) 309-3991
Mailing address
1080 NIMITZVIEW DR, CINCINNATI, OH 45230-4314
(419) 309-3991
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
163W00000X
Registered Nurse
Primary
RN.488670
OH
Other
Enumeration date
04/04/2024
Last updated
07/03/2024
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