Individual provider · Type 1 NPI

Breanna Wallace

Home Health Aide · Youngstown, OH

NPI number 1629802020 Active

About NPI 1629802020

Breanna Wallace's National Provider Identifier is 1629802020, issued on Aug 28, 2024. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Youngstown, OH. The record was last updated on Aug 28, 2024.