MISS Latia Marie Wallace, LPN
NPI #1962194506 in Aurora, Ohio
Provider Information
- NPI Number
- 1962194506
- Entity Type
- Individual
- Name
- MISS Latia Marie Wallace, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 23, 2023
- Last Updated
- May 23, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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