MISS Gina Marie Wallace
NPI #1356567176 in Painesville, Ohio
Provider Information
- NPI Number
- 1356567176
- Entity Type
- Individual
- Name
- MISS Gina Marie Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Apr 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 42 FLORENCE AVE
- City
- Painesville
- State
- Ohio
- ZIP Code
- 44077-1120
- Phone
- (440) 413-0508
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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