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Terrie Wallace-Jenkins

NPI 1114794328 · on the registry since 2023 · sole proprietor

Practice

Address
709 Radford Dr
Richmond Heights, OH 44143
Phone
(440) 903-9398

Registry record

Primary taxonomy
342000000X
342000000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-07

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