PORTIA DIONNE WALLACE

CHARLOTTE, NC
NPI1831427533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Enumeration Date2009-11-18
Last Update Date2009-11-18
Business Address
Miss PORTIA DIONNE WALLACE
7800 TRAVERS RUN DR
CHARLOTTE, NC 28215-6504
Phone number: 704-506-2315
Mailing Address
Miss PORTIA DIONNE WALLACE
4450 SOUTH BLVD SUITE 6
CHARLOTTE, NC 28209-2673
Phone number: 704-506-2315
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