Dekoya Wallace-Adams

NPI #1912549916 in Valdosta, Georgia

Provider Information

NPI Number: 1912549916
Entity Type: Individual
Name: Dekoya Wallace-Adams
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health
Enumeration Date: Oct 10, 2019
Last Updated: Oct 10, 2019

Practice Location

Address: 1804 E PARK AVE
City: Valdosta
State: Georgia
ZIP Code: 31602-4414
Phone: (229) 539-4874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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