Individual
CAMERON WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 MYRTLE AVE, CHELTENHAM, PA 19012-2036
(267) 280-2619
Mailing address
320 MYRTLE AVE, CHELTENHAM, PA 19012-2036
(267) 280-2619
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
71193601
PA
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
71193601
PA
385H00000X
Respite Care
71193601
PA
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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