Daris L Wallace, CRISIS RES SPEC

NPI #1295572824 in Gallipolis, Ohio

Provider Information

NPI Number
1295572824
Entity Type
Individual
Name
Daris L Wallace, CRISIS RES SPEC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Credential
CRISIS RES SPEC
Enumeration Date
Jul 11, 2024
Last Updated
Jul 11, 2024

Practice Location

Address
100 WEST AVE
State
Ohio
ZIP Code
45631-1674
Phone
(740) 446-5554

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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