Tiffany R Wallace
NPI #1417563735 in Montgomery, West Virginia
Provider Information
- NPI Number
- 1417563735
- Entity Type
- Individual
- Name
- Tiffany R Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Sep 22, 2020
- Last Updated
- Dec 23, 2022
Practice Location
- Address
- 78 4TH AVE APT 3
- City
- Montgomery
- State
- West Virginia
- ZIP Code
- 25136-2434
- Phone
- (681) 945-4333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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