Theresa Wallace

NPI #1063947018 in Baltimore, Maryland

Provider Information

NPI Number
1063947018
Entity Type
Individual
Name
Theresa Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Home Health Aide
Enumeration Date
Apr 27, 2017
Last Updated
Apr 27, 2017

Practice Location

Address
2201 1/2 ROSLYN AVE
Address 2
APT 203
ZIP Code
21216-2522
Phone
(443) 468-2142

Specialties & Taxonomy Codes

Specialty
Home Health Aide

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