Tiffany Wallace, QMHP

NPI #1205582509 in Virginia Beach, Virginia

Provider Information

NPI Number: 1205582509
Entity Type: Individual
Name: Tiffany Wallace, QMHP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health
Credential: QMHP
Enumeration Date: Feb 24, 2022
Last Updated: Feb 24, 2022

Practice Location

Address: 5881 LUDINGTON DR
City: Virginia Beach
State: Virginia
ZIP Code: 23464-1546
Phone: (757) 288-1363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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