CAMERON BLAKE WALLACE

CHARLESTON, WV
NPI1174456578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  109296)
Enumeration Date2026-06-04
Last Update Date2026-08-03
Business Address
CAMERON BLAKE WALLACE CRNA
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-5432
Mailing Address
CAMERON BLAKE WALLACE CRNA
4188 8TH STREET RD
HUNTINGTON, WV 25701-9440
Phone number: