MS. Katelin Marie Wallace
MS. Katelin Marie Wallace is a Homemaker in South Bloomfield, Ohio. Licensed in Ohio. Registered with an NPI since 2024.
- Licensed in
- OH
- In the registry since
- 2024
Practice location Address checks out
5408 Morning Glory StSouth Bloomfield, OH 43103-3518
Phone: (434) 365-9020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X (OH) |
|---|
Record details
| NPI number | 1740040435 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 20, 2024 |
| Last updated in NPPES | March 20, 2024 |
| Certification date | March 20, 2024 |
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Bodi Grayson Wallace
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Lindsay Nicole Wallace
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Sheila Ann Wallace
5408 Morning Glory St, South Bloomfield, OH 43103-3518 · (434) 365-9120