Individual provider · Type 1 NPI

Shannon Wallace, HOME HEATH AIDE

Home Health Aide · Lakeland, FL

NPI number 1750757340 Active

About NPI 1750757340

Shannon Wallace, HOME HEATH AIDE's National Provider Identifier is 1750757340, issued on Aug 18, 2015. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Lakeland, FL. The record was last updated on Aug 18, 2015.