Demetria Wallace, RN
NPI #1710344635 in Grand Prairie, Texas
Provider Information
- NPI Number
- 1710344635
- Entity Type
- Individual
- Name
- Demetria Wallace, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- RN
- Enumeration Date
- Jan 22, 2016
- Last Updated
- Jan 22, 2016
Practice Location
- Address
- 2635 VILLA DI LAGO UNIT 4
- City
- Grand Prairie
- State
- Texas
- ZIP Code
- 75054-6630
- Phone
- (866) 386-8404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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