BETTY RAY WALLACE
Driver
Active
Individual
NPI: 1073039897
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Driver | 172A00000X | Yes | - |
Frequently Asked Questions
NPI 1073039897 is the National Provider Identifier for BETTY RAY WALLACE, a Driver provider located in Virginia Beach, VA. This NPI was enumerated on August 15, 2017.
BETTY RAY WALLACE practices at 401 PUTNAM RD, Virginia Beach, VA 23462.
Quick Facts
- NPI
- 1073039897
- Type
- Individual
- Enumerated
- Aug 15, 2017
- Last Updated
- Jul 21, 2022
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