M Wallace
M Wallace is a Home Health Aide in Florissant, Missouri. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
394 Saint Ferdinand StFlorissant, MO 63031-5918
Phone: (314) 831-6300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X |
|---|
Record details
| NPI number | 1629359146 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 30, 2011 |
| Last updated in NPPES | August 22, 2013 |
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