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Beverly Wallace
NPI 1942759238 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3719 Benson Dr
Raleigh, NC 27609 - Phone
- (919) 368-6227
- Organisation at this address
- Rejuvenated Minds, Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP1600X
101YP1600X
- Sex
- Female
- Record last updated
- 2016-09-27
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 North Carolina