AUGIE WALLACE

UPPER DARBY, PA
NPI1083083455
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: PA  28613601)
Enumeration Date2015-09-16
Last Update Date2021-09-13
Business Address
AUGIE WALLACE
8600 W CHESTER PIKE STE 308
UPPER DARBY, PA 19082-2629
Phone number: 484-433-8208
Mailing Address
AUGIE WALLACE
4312 MAIN ST APT 316
PHILADELPHIA, PA 19127-1531
Phone number: 484-433-8208
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