Search › Texas › 171M00000X
Demetria Wallace, RN
NPI 1710344635 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2635 Villa Di Lago Unit 4
Grand Prairie, TX 75054 - Phone
- (866) 386-8404
- Organisation at this address
- Lakeridge Care Management
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2016-01-22
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 Texas