Individual provider · Type 1 NPI

Gina Marie Wallace

Home Health Aide · Painesville, OH

NPI number 1356567176 Active

About NPI 1356567176

Gina Marie Wallace's National Provider Identifier is 1356567176, issued on Apr 18, 2007. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Painesville, OH. The record was last updated on Jul 8, 2007.