Makealia Wallace
NPI #1255139051 in White Plains, New York
Provider Information
- NPI Number
- 1255139051
- Entity Type
- Individual
- Name
- Makealia Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 6, 2025
- Last Updated
- Mar 21, 2025
Practice Location
- Address
- 12 WATER ST
- City
- White Plains
- State
- New York
- ZIP Code
- 10601-1401
- Phone
- (347) 685-8707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Licensed Practical Nurse |
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