SearchMassachusetts101YM0800X

Kelly Wallace

NPI 1871225706 · on the registry since 2022 · sole proprietor

Practice

Address
41 Birchland Ave
East Longmeadow, MA 01028
Phone
(141) 388-7495

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2022-06-29

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 Massachusetts