Individual
SHIRRELLE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 FRANKLIN ST NE APT 101, WASHINGTON, DC 20018-4203
(202) 847-7496
Mailing address
2847 MILLS AVE NE, WASHINGTON, DC 20018-2556
(202) 847-7496
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
03/10/2025
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