Individual
RUTH ADELINE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NC-BC
Contact information
Practice address
PO BOX 30016, COLUMBIA, SC 29230-0016
(910) 633-3603
Mailing address
PO BOX 30016, COLUMBIA, SC 29230-0016
(910) 633-3603
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
45452
SC
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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