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Individual

BRIANA WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4400 LINGLESTOWN RD STE 108, HARRISBURG, PA 17112-8534
(717) 998-1442
Mailing address
4400 LINGLESTOWN RD STE 108, HARRISBURG, PA 17112-8534
(717) 998-1442

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
PA

Other

Enumeration date
12/16/2025
Last updated
12/16/2025
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