Individual
RASHEADA LYNN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
(CD,PCD)
Contact information
Practice address
1609 MURDOCH RD FL 2, PHILADELPHIA, PA 19150-1011
(267) 231-4615
Mailing address
250 E PHIL ELLENA ST FL 2, PHILADELPHIA, PA 19119-2222
(267) 231-4615
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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