Tyrianne Wallace
Tyrianne Wallace is a Case Manager/Care Coordinator in Gretna, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1202 Monroe StGretna, LA 70053-2307
Phone: (504) 309-6798
Fax: (504) 407-2115
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1083209209 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2021 |
| Last updated in NPPES | March 9, 2021 |
| Certification date | March 9, 2021 |
| Mailing address | 7523 Avon Park Blvd, New Orleans, LA 70128-2101 |
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