Individual
DAVID LAMONTE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1135 TERMINAL WAY STE 208, RENO, NV 89502-2168
(775) 544-9270
(775) 686-6526
Mailing address
1135 TERMINAL WAY STE 208, RENO, NV 89502-2168
(775) 686-6021
(775) 686-6526
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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