Individual provider · Type 1 NPI

Theresa Wallace

Home Health Aide · Baltimore, MD

NPI number 1063947018 Active

About NPI 1063947018

Theresa Wallace's National Provider Identifier is 1063947018, issued on Apr 27, 2017. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Baltimore, MD. The record was last updated on Apr 27, 2017.