Individual provider · Type 1 NPI

Ricardo T. Wallace

Home Health Aide · Cleveland, OH

NPI number 1104586510 Active

About NPI 1104586510

Ricardo T. Wallace's National Provider Identifier is 1104586510, issued on Dec 27, 2021. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Cleveland, OH. The record was last updated on Dec 27, 2021.