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Grace Wallace, PCA

NPI 1154836401 · on the registry since 2017

Practice

Address
711 Greenbrier Creek Road
Fort Gay, WV 25514
Phone
(304) 356-4562

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Sex
Female
Record last updated
2017-12-08

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