Jacob Wallace
NPI #1306709852 in Middletown, Ohio
Provider Information
- NPI Number
- 1306709852
- Entity Type
- Individual
- Name
- Jacob Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Homemaker
- Enumeration Date
- Dec 3, 2025
- Last Updated
- Dec 3, 2025
Practice Location
- Address
- 860 GARVER RD
- City
- Middletown
- State
- Ohio
- ZIP Code
- 45044-8923
- Phone
- (513) 300-4203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Homemaker |
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