Taylor Wallace
NPI #1104472760 in Salt Lake Cty, Utah
Provider Information
- NPI Number
- 1104472760
- Entity Type
- Individual
- Name
- Taylor Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Aug 9, 2019
- Last Updated
- Aug 9, 2019
Practice Location
- Address
- 2791 S 2475 E
- City
- Salt Lake Cty
- State
- Utah
- ZIP Code
- 84109-1825
- Phone
- (801) 631-6285
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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