Search › Ohio › 164W00000X
Jateya Wallace, LPN
NPI 1851142665 · on the registry since 2024
Practice
- Address
- 1630 Ridgewick Dr
Wickliffe, OH 44092 - Phone
- (440) 687-7023
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-29
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