Individual
ANNMARIE L WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
549 E 5TH ST, PERRYSBURG, OH 43551-2221
(260) 312-2588
Mailing address
549 E 5TH ST, PERRYSBURG, OH 43551-2221
(260) 312-2588
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
07/05/2023
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