KIANA WALLACE

FAIRMONT, WV
NPI1447975305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-10-04
Last Update Date2022-11-21
Business Address
KIANA WALLACE MS
909 MORGANTOWN AVE
FAIRMONT, WV 26554-4335
Phone number: 681-758-1907
Mailing Address
KIANA WALLACE MS
909 MORGANTOWN AVE
FAIRMONT, WV 26554-4335
Phone number: 681-758-1907
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