MRS. Grace Wallace, PCA
NPI #1154836401 in Fort Gay, West Virginia
Provider Information
- NPI Number
- 1154836401
- Entity Type
- Individual
- Name
- MRS. Grace Wallace, PCA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Credential
- PCA
- Enumeration Date
- Dec 8, 2017
- Last Updated
- Dec 8, 2017
Practice Location
- Address
- 711 GREENBRIER CREEK ROAD
- City
- Fort Gay
- State
- West Virginia
- ZIP Code
- 25514
- Phone
- (304) 356-4562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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