MISS Carrie Marie Wallace, LPN

NPI #1306518089 in Marietta, Ohio

Provider Information

NPI Number
1306518089
Entity Type
Individual
Name
MISS Carrie Marie Wallace, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Oct 1, 2021
Last Updated
Oct 1, 2021

Practice Location

Address
472 PIKE STREET
State
Ohio
ZIP Code
45750
Phone
(740) 236-4452

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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