Gabriel Wayne Wallace
Gabriel Wayne Wallace is a Personal Care Attendant in Prescott, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2015
Practice location Address checks out
5208 Michiban AvePrescott, MI 48756
Phone: (989) 305-9629
Fax: (989) 873-1225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X · Licence 7666037 (MI) |
|---|
Record details
| NPI number | 1932571056 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 28, 2015 |
| Last updated in NPPES | October 28, 2015 |
| Mailing address | Po Box 4424, Prescott, MI 48756-4424 |