Hayden Wallace

NPI #1922840867 in Wayne, Nebraska

Provider Information

NPI Number: 1922840867
Entity Type: Individual
Name: Hayden Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 11, 2024
Last Updated: Jun 11, 2024

Practice Location

Address: 1009 N PEARL ST
City: Wayne
State: Nebraska
ZIP Code: 68787-1123
Phone: (623) 810-5648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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