DAVID MARK WALLACE

OMAHA, NE
NPI1235099094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
Additional Taxonomies372600000X Adult Companion
Enumeration Date2025-11-14
Last Update Date2025-11-25
Business Address
DAVID MARK WALLACE
13919 S PLZ
OMAHA, NE 68137-2916
Phone number: 402-896-9988
Mailing Address
DAVID MARK WALLACE
19359 V ST
OMAHA, NE 68135-4249
Phone number: 402-290-8380