Betty Ray Wallace
Betty Ray Wallace is a Driver in Virginia Beach, Virginia. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
401 Putnam RdVirginia Beach, VA 23462-3146
Phone: (757) 323-9485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1073039897 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 15, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 401 Putnam Rd, Virginia Beach, VA 23462-3146 |
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