Individual
VICTORIA CATHERINE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 CHURCH ST STE 140, CHARLESTON, SC 29401-3136
(843) 593-1582
Mailing address
12000 GIDDINGS WAY APT 12205, LADSON, SC 29456-4640
(843) 593-1582
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
SC
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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