JALDON WALLACE

Contractor

Active Individual
NPI: 1306674502

Practice Address

600 W GERMANTOWN PIKE STE 400
Plymouth Meeting, PA 19462

Phone: (215) 316-1776

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1306674502 is the National Provider Identifier for JALDON WALLACE, a Contractor provider located in Plymouth Meeting, PA. This NPI was enumerated on July 22, 2024.
JALDON WALLACE practices at 600 W GERMANTOWN PIKE STE 400, Plymouth Meeting, PA 19462.

Quick Facts

NPI
1306674502
Type
Individual
Enumerated
Jul 22, 2024
Last Updated
Jul 22, 2024

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