Individual
TONYA MICHELLE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 NORTHWOOD AVE, DAYTON, OH 45405-2206
(937) 239-0039
Mailing address
37 NORTHWOOD AVE, DAYTON, OH 45405-2206
(937) 239-0039
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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