Individual provider · Type 1 NPI

M Wallace

Home Health Aide · Florissant, MO

NPI number 1629359146 Active

Practice location

394 Saint Ferdinand St
Florissant, MO 63031-5918

Call (314) 831-6300 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide Primary 374U00000XNone listed

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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About NPI 1629359146

M Wallace's National Provider Identifier is 1629359146, issued on Aug 30, 2011. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Florissant, MO. The record was last updated on Aug 22, 2013.