Jordan Wallace
NPI #1962391359 in Man, West Virginia
Provider Information
- NPI Number
- 1962391359
- Entity Type
- Individual
- Name
- Jordan Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health Aide
- Enumeration Date
- Jun 30, 2025
- Last Updated
- Jun 30, 2025
Practice Location
- Address
- 503 E MCDONALD AVE
- City
- Man
- State
- West Virginia
- ZIP Code
- 25635-1014
- Phone
- (304) 687-0172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health Aide |
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