Crystal Wallace
NPI #1194691139 in Saint Albans, West Virginia
Provider Information
- NPI Number
- 1194691139
- Entity Type
- Individual
- Name
- Crystal Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 16, 2025
- Last Updated
- Oct 16, 2025
Practice Location
- Address
- 2558 WINFIELD RD
- City
- Saint Albans
- State
- West Virginia
- ZIP Code
- 25177-7804
- Phone
- (304) 755-2385
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