Desiree M Wallace, CNA
NPI #1093364853 in Houlton, Maine
Provider Information
- NPI Number
- 1093364853
- Entity Type
- Individual
- Name
- Desiree M Wallace, CNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse's Aide
- Credential
- CNA
- Enumeration Date
- Sep 5, 2019
- Last Updated
- Sep 9, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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