MRS. DEBRA WALLACE

Nurse's Aide

Active Individual
NPI: 1912149188

Practice Address

5608 KENNY DR
Tampa, FL 33617

Phone: (813) 546-4884

Specialties

Specialty Code Primary License
Technician - Attendant Care Provider 3747A0650X No 684206296 (FL)
Technician - Personal Care Attendant 3747P1801X No 684206296 (FL)
Nurse's Aide 376K00000X Yes CNA 54979 (FL)
Adult Companion 372600000X No 684206296 (FL)

Frequently Asked Questions

NPI 1912149188 is the National Provider Identifier for MRS. DEBRA WALLACE, a Nurse's Aide provider located in Tampa, FL. This NPI was enumerated on April 2, 2009.
MRS. DEBRA WALLACE practices at 5608 KENNY DR, Tampa, FL 33617.

Quick Facts

NPI
1912149188
Type
Individual
Enumerated
Apr 2, 2009
Last Updated
Apr 2, 2009

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