Search › South Carolina › 164W00000X
Dantoria Wallace, LPN
NPI 1194571083 · on the registry since 2024
Practice
- Address
- 157 Brozzini Ct
Greenville, SC 29615 - Phone
- (800) 805-6989
- Organisation at this address
- Crossroads Treatment Center Of Greenville, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 33
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-30
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 South Carolina