Gabriel Wayne Wallace
NPI #1932571056 in Prescott, Michigan
Provider Information
- NPI Number
- 1932571056
- Entity Type
- Individual
- Name
- Gabriel Wayne Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 28, 2015
- Last Updated
- Oct 28, 2015
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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