James D Wallace
NPI #1083226005 in Foster, West Virginia
Provider Information
- NPI Number
- 1083226005
- Entity Type
- Individual
- Name
- James D Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Aug 20, 2020
- Last Updated
- May 10, 2022
Practice Location
- Address
- 67 DON DALE DR
- City
- Foster
- State
- West Virginia
- ZIP Code
- 25081
- Phone
- (304) 688-7849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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