Individual
ANGELA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 ALLISON RD, BELLEFONTAINE, OH 43311-2341
(937) 935-0531
Mailing address
801 ALLISON RD, BELLEFONTAINE, OH 43311-2341
(937) 935-0531
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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