SearchWest Virginia374U00000X

Leslie Wallace

NPI 1053203190 · on the registry since 2025 · sole proprietor

Practice

Address
2301 Rear Main St
Wellsburg, WV 26070
Phone
(304) 479-5683

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Male
Record last updated
2025-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia