ROBERT E WALLACE

WEIRTON, WV
NPI1316430176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-06-07
Last Update Date2018-06-07
Business Address
ROBERT E WALLACE
283 OLD COLLIERS WAY
WEIRTON, WV 26062-4073
Phone number: 304-780-6210
Mailing Address
ROBERT E WALLACE
283 OLD COLLIERS WAY
WEIRTON, WV 26062-4073
Phone number: 304-780-6210