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Jordan Wallace
NPI 1962391359 · on the registry since 2025 · sole proprietor
Practice
- Address
- 503 E Mcdonald Ave
Man, WV 25635 - Phone
- (304) 687-0172
Registry record
- Primary taxonomy
- Home Health Aide
374U00000X
- Sex
- Male
- Record last updated
- 2025-06-30
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 West Virginia