Search › Ohio › 171M00000X
Jesseca Wallace
NPI 1245871177 · on the registry since 2019 · sole proprietor
Practice
- Address
- 8720 Mavis Trl
Streetsboro, OH 44241 - Phone
- (440) 384-8934
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YA0400X
- Sex
- Female
- Record last updated
- 2020-09-24
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 Ohio