MR. Timothy Thomas Wallace JR., RN
NPI #1003072414 in Brecksville, Ohio
Provider Information
- NPI Number
- 1003072414
- Entity Type
- Individual
- Name
- MR. Timothy Thomas Wallace JR., RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health
- Credential
- RN
- Enumeration Date
- Aug 5, 2008
- Last Updated
- Aug 5, 2008
Practice Location
- Address
- 10000 BRECKSVILLE RD
- City
- Brecksville
- State
- Ohio
- ZIP Code
- 44141-3204
- Phone
- (440) 526-3030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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