VALERIE WALLACE

BLYTHEWOOD, SC
NPI1093166852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: SC  007229437)
Enumeration Date2016-06-23
Last Update Date2020-01-28
Business Address
VALERIE WALLACE
833 REDDEN ROW
BLYTHEWOOD, SC 29016-7221
Phone number: 910-544-9103
Mailing Address
VALERIE WALLACE
13401 OLD MCCOLL RD
GIBSON, NC 28343-8541
Phone number: 910-544-9103