CHANTAY WALLACE

NEW YORK, NY
NPI1285104760
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  766721987)
Enumeration Date2018-11-28
Last Update Date2018-11-28
Business Address
CHANTAY WALLACE
142 W 143RD ST APT 3A
NEW YORK, NY 10030-1665
Phone number: 917-916-2216
Mailing Address
CHANTAY WALLACE
142 W 143RD ST APT 3A
NEW YORK, NY 10030-1665
Phone number: 917-916-2216
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