Carol Wallace
NPI #1083111728 in Baldwin, New York
Provider Information
- NPI Number
- 1083111728
- Entity Type
- Individual
- Name
- Carol Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Apr 10, 2018
- Last Updated
- Apr 10, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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