Individual
LINDA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 PENNSYLVANIA AVE SE STE 2, WASHINGTON, DC 20003-4322
(609) 372-7832
Mailing address
1720 14TH ST NW FL 2, WASHINGTON, DC 20009-7853
(202) 677-0311
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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