GABRIEL WALLACE
Technician - Personal Care Attendant
Active
Individual
NPI: 1932571056
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Technician - Personal Care Attendant | 3747P1801X | Yes | 7666037 (MI) |
Frequently Asked Questions
NPI 1932571056 is the National Provider Identifier for GABRIEL WALLACE, a Technician - Personal Care Attendant provider located in Prescott, MI. This NPI was enumerated on October 28, 2015.
GABRIEL WALLACE practices at 5208 MICHIBAN AVE., Prescott, MI 48756.
Quick Facts
- NPI
- 1932571056
- Type
- Individual
- Enumerated
- Oct 28, 2015
- Last Updated
- Oct 28, 2015
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