Augie Wallace

NPI #1083083455 in Upper Darby, Pennsylvania

Provider Information

NPI Number: 1083083455
Entity Type: Individual
Name: Augie Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Sep 16, 2015
Last Updated: Sep 13, 2021

Practice Location

Address: 8600 W CHESTER PIKE STE 308
City: Upper Darby
State: Pennsylvania
ZIP Code: 19082-2629
Phone: (484) 433-8208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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