Individual provider · Type 1 NPI

Angel Sha'miah Wallace, CPCT-A

Other Technician · Birmingham, AL

NPI number 1083463947 Active

Practice location

2609 Avenue K
Birmingham, AL 35218-2159

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XPF4Q3Z3H9 (AL)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1083463947

Angel Sha'miah Wallace, CPCT-A's National Provider Identifier is 1083463947, issued on May 14, 2024. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Birmingham, AL. The record was last updated on May 14, 2024.