TAYLOR WALLACE
Technician - Attendant Care Provider
Active
Individual
NPI: 1104472760
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Technician - Attendant Care Provider | 3747A0650X | Yes | - |
Frequently Asked Questions
NPI 1104472760 is the National Provider Identifier for TAYLOR WALLACE, a Technician - Attendant Care Provider provider located in Salt Lake Cty, UT. This NPI was enumerated on August 9, 2019.
TAYLOR WALLACE practices at 2791 S 2475 E, Salt Lake Cty, UT 84109.
Quick Facts
- NPI
- 1104472760
- Type
- Individual
- Enumerated
- Aug 9, 2019
- Last Updated
- Aug 9, 2019
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