D Wallace Health Promotion and Wellness
NPI #1205347812 in Eastpointe, Michigan
Provider Information
- NPI Number
- 1205347812
- Entity Type
- Organization
- Organization Name
- D Wallace Health Promotion and Wellness
- Primary Specialty
- Nursing Care
- Enumeration Date
- Oct 23, 2017
- Last Updated
- Oct 23, 2017
Practice Location
- Address
- 15730 MOK AVE
- City
- Eastpointe
- State
- Michigan
- ZIP Code
- 48021-2367
- Phone
- (313) 415-1538
Authorized Official
- Name
- MRS. DIONNE LANETTE WALLACE, MSN RN CNL
- Title
- FOUNDER/CHIEF ADMINISTATOR
- Phone
- (586) 241-7088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Care |
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