JATEYA WALLACE, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1851142665
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 178345 (OH) |
Frequently Asked Questions
NPI 1851142665 is the National Provider Identifier for JATEYA WALLACE, LPN, a Licensed Practical Nurse provider located in Wickliffe, OH. This NPI was enumerated on March 29, 2024.
JATEYA WALLACE, LPN practices at 1630 RIDGEWICK DR, Wickliffe, OH 44092.
Quick Facts
- NPI
- 1851142665
- Type
- Individual
- Enumerated
- Mar 29, 2024
- Last Updated
- Mar 29, 2024
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