Individual
MRS. JANELLE DORIS WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 KINGSTON DR., PITTSBURGH, PA 15235
(412) 825-3768
Mailing address
204 KINGSTON DR., PITTSBURGH, PA 15235
(412) 825-3768
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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