Ricardo T. Wallace
Ricardo T. Wallace is a Home Health Aide in Cleveland, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3691 E 110th StCleveland, OH 44105-2426
Phone: (216) 323-4976
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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 | 1104586510 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2021 |
| Last updated in NPPES | December 27, 2021 |
| Certification date | January 21, 2021 |
| Mailing address | 3691 E 110th St, Cleveland, OH 44105-2426 |
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