Individual
BIANCA PRICE-WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 DURANGO DR, ANN ARBOR, MI 48103-4492
(734) 678-1710
Mailing address
1924 JACKSON AVE, ANN ARBOR, MI 48103-4064
(734) 678-1710
(313) 792-8962
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006175
MI
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/04/2019
Last updated
03/20/2024
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