MS. Theresa Wallace, OWNER
MS. Theresa Wallace, OWNER is a Home Health Aide in Riviera Beach, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2018
Practice location Address checks out
1200 Ac Evans St Apt 2Riviera Beach, FL 33404-2063
Phone: (561) 634-6091
Fax: (561) 828-2343
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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 (FL) |
|---|
Record details
| NPI number | 1013498039 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OWNER |
| Sole proprietor | Yes |
| NPI enumerated | August 27, 2018 |
| Last updated in NPPES | August 27, 2018 |
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