Jynuine Wallace

NPI #1740158377 in North Versailles, Pennsylvania

Provider Information

NPI Number: 1740158377
Entity Type: Individual
Name: Jynuine Wallace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 27, 2025
Last Updated: Oct 27, 2025

Practice Location

Address: 107 ARLENE AVE
City: North Versailles
State: Pennsylvania
ZIP Code: 15137-2432
Phone: (412) 304-3090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist	225500000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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