Travonti Scott Wallace
Travonti Scott Wallace is a Personal Care Attendant in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2024
Practice location Address checks out
627 Gilbert StColumbus, OH 43205-2616
Phone: (614) 680-1354
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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 (OH) |
|---|
Record details
| NPI number | 1881443596 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2024 |
| Last updated in NPPES | May 15, 2024 |
| Certification date | May 7, 2024 |
| Mailing address | 627 Gilbert St, Columbus, OH 43205-2616 |
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