Search › West Virginia › 3747P1801X
Loretta Wallace
NPI 1659122257 · on the registry since 2024
Practice
- Address
- 39 Muirwood Greene Dr
Romney, WV 26757 - Phone
- (304) 359-4017
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Also registered as
- 3747P1801X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-01
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