Evelyn Diana Wallo
NPI #1437760618 in Shinnston, West Virginia
Provider Information
- NPI Number
- 1437760618
- Entity Type
- Individual
- Name
- Evelyn Diana Wallo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Aug 12, 2020
- Last Updated
- Jun 23, 2021
Practice Location
- Address
- 598 S PIKE ST
- City
- Shinnston
- State
- West Virginia
- ZIP Code
- 26431-1128
- Phone
- (304) 291-3455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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