Chantay Wallace
Chantay Wallace is a Licensed Practical Nurse in New York, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2018
Practice location Address checks out
142 W 143rd St Apt 3ANew York, NY 10030-1665
Phone: (917) 916-2216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 766721987 (NY) |
|---|
Record details
| NPI number | 1285104760 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 28, 2018 |
| Last updated in NPPES | November 28, 2018 |
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