Individual
BROOKE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 E BOULEVARD STE B, WILLIAMSTON, NC 27892-2781
(252) 789-4008
Mailing address
1604 CAROLINA AVE STE 101, WASHINGTON, NC 27889-4297
(252) 940-0068
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1671
NC
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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