MS. Theresa Wallace, OWNER
NPI #1013498039 in Riviera Beach, Florida
Provider Information
- NPI Number
- 1013498039
- Entity Type
- Individual
- Name
- MS. Theresa Wallace, OWNER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health Aide
- Credential
- OWNER
- Enumeration Date
- Aug 27, 2018
- Last Updated
- Aug 27, 2018
Practice Location
- Address
- 1200 AC EVANS ST APT 2
- City
- Riviera Beach
- State
- Florida
- ZIP Code
- 33404-2063
- Phone
- (561) 634-6091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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