KEVIN R WALLACE

CANFIELD, OH
NPI1033619614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-02-20
Last Update Date2018-02-20
Business Address
Mr. KEVIN R WALLACE
3620 STUTZ DR
CANFIELD, OH 44406-9176
Phone number: 330-286-3173
Mailing Address
Mr. KEVIN R WALLACE
3620 STUTZ DR
CANFIELD, OH 44406-9176
Phone number: 330-286-3173