KENNETH WALTER WALLACE

CLEVELAND, OH
NPI1144078239
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-13
Last Update Date2024-05-13
Business Address
Mr. KENNETH WALTER WALLACE
11075 EAST BLVD
CLEVELAND, OH 44106-5409
Phone number: 216-368-2766
Mailing Address
Mr. KENNETH WALTER WALLACE
2300 OVERLOOK RD APT 110
CLEVELAND HEIGHTS, OH 44106-2346
Phone number: 717-572-5619