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Jessica Wallace

NPI 1285031682 · on the registry since 2014

Practice

Address
2900 Knox School Rd
Alliance, OH 44601
Phone
(330) 938-1122

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-10

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