Individual
LACEY WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 ARENDS RIDGE RD, MARIETTA, OH 45750-5324
(740) 706-4818
Mailing address
160 ARENDS RIDGE RD, MARIETTA, OH 45750-5324
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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