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M Wallace
NPI 1629359146 · on the registry since 2011
Practice
- Address
- 394 Saint Ferdinand St
Florissant, MO 63031 - Phone
- (314) 831-6300
- Organisation at this address
- Salon Mj2 Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Home Health Aide
374U00000X
- Sex
- Female
- Record last updated
- 2013-08-22
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 Missouri