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Valerie Wallace

NPI 1093166852 · on the registry since 2016 · sole proprietor

Practice

Address
833 Redden Row
Blythewood, SC 29016
Phone
(910) 544-9103

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-28

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 South Carolina