Individual
MACHELLE MARLENE WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 LUKE CV, HAMPTON, GA 30228-2387
(404) 615-7672
Mailing address
164 LUKE CV, HAMPTON, GA 30228-2387
(404) 615-7672
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
09/18/2023
Last updated
09/19/2023
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