LATONIA WALLACE

COLUMBIA, SC
NPI1235581844
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: SC  171131E)
Enumeration Date2016-07-07
Last Update Date2016-07-07
Business Address
-- LATONIA WALLACE CNA
7535 PELL ST APT B
COLUMBIA, SC 29209-4035
Phone number: 803-237-5722
Mailing Address
-- LATONIA WALLACE CNA
7535 PELL ST APT B
COLUMBIA, SC 29209-4035
Phone number: 803-237-5722
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