Chara Wallace

NPI #1477266336 in Lorain, Ohio

Provider Information

NPI Number: 1477266336
Entity Type: Individual
Name: Chara Wallace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Jan 5, 2023
Last Updated: Jan 5, 2023

Practice Location

Address: 3510 PIN OAK DR UNIT B
City: Lorain
State: Ohio
ZIP Code: 44052-2680
Phone: (440) 783-0292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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