TERESA WALLACE

SPRING VALLEY, NY
NPI1235600081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  333234)
Enumeration Date2018-12-05
Last Update Date2018-12-05
Business Address
TERESA WALLACE
2 RIFKIN CT
SPRING VALLEY, NY 10977-2236
Phone number: 718-828-2666
Mailing Address
TERESA WALLACE
2 RIFKIN CT
SPRING VALLEY, NY 10977-2236
Phone number: