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Travonti Wallace
NPI 1881443596 · on the registry since 2024 · sole proprietor
Practice
- Address
- 627 Gilbert St
Columbus, OH 43205 - Phone
- (614) 680-1354
Registry record
- Primary taxonomy
- Personal Care Attendant
3747P1801X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-15
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