Individual
MATTHEW ISIAH WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4778 S CAPITOL TER SW UNIT A, WASHINGTON, DC 20032-2739
(202) 422-6987
Mailing address
4778 S CAPITOL TER SW UNIT A, WASHINGTON, DC 20032-2739
(202) 422-6987
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
NA
DC
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/15/2026
Last updated
03/20/2026
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