ANTHONY NELSON WALLACE

OMAHA, NE
NPI1780471102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-04-21
Last Update Date2025-04-21
Business Address
ANTHONY NELSON WALLACE
9001 ARBOR ST STE 206
OMAHA, NE 68124-2066
Phone number: 531-772-9325
Mailing Address
ANTHONY NELSON WALLACE
2104 S 42ND ST
OMAHA, NE 68105-2910
Phone number: 531-772-9325
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