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Brenda Wallace, RN,C

NPI 1275703647 · on the registry since 2008 · sole proprietor

Practice

Address
3107 Eastwick Dr
Cleveland Heights, OH 44118
Phone
(216) 371-5253

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
163WG0600X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-03-03

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