MS. Katelin Marie Wallace

NPI #1740040435 in South Bloomfield, Ohio

Provider Information

NPI Number: 1740040435
Entity Type: Individual
Name: MS. Katelin Marie Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Mar 20, 2024
Last Updated: Mar 20, 2024

Practice Location

Address: 5408 MORNING GLORY ST
City: South Bloomfield
State: Ohio
ZIP Code: 43103-3518
Phone: (434) 365-9020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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Sheila Ann Wallace	Homemaker	South Bloomfield	AI Deep Dive
Abigail Marie Byerly	Homemaker	South Bloomfield	AI Deep Dive

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