Search › Ohio › 376J00000X
Mayon Wallace
NPI 1861234478 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2508 Kipling Ave
Cincinnati, OH 45239 - Phone
- (513) 233-5989
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-12
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