Samara Kache Wallace
NPI #1154960177 in Capitol Heights, Maryland
Provider Information
- NPI Number
- 1154960177
- Entity Type
- Individual
- Name
- Samara Kache Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse's Aide
- Enumeration Date
- Dec 23, 2019
- Last Updated
- Dec 23, 2019
Practice Location
- Address
- 634 CAPITOL HEIGHTS BLVD
- City
- Capitol Heights
- State
- Maryland
- ZIP Code
- 20743-2901
- Phone
- (202) 839-6862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
| Nurse's Aide |
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