Debra Wallace

NPI 1912149188 · on the registry since 2009 · sole proprietor

Practice

Address: 5608 Kenny Dr
Tampa, FL 33617
Phone: (813) 546-4884
Fax: (813) 983-1860
Organisation at this address: Debra'S Divine Care Inc
Debra'S Divine Care Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Nurse's Aide
376K00000X
Also registered as: Attendant Care Provider
Personal Care Attendant
Adult Companion
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-04-02

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 Florida