DEBRA ANN WALLACE

TAMPA, FL
NPI1912149188
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: FL  CNA 54979)
Additional Taxonomies3747A0650X Technician, Attendant Care Provider
(Licence: FL  684206296)
3747P1801X Technician, Personal Care Attendant
(Licence: FL  684206296)
372600000X Adult Companion
(Licence: FL  684206296)
Enumeration Date2009-04-02
Last Update Date2009-04-02
Business Address
Mrs. DEBRA ANN WALLACE
5608 KENNY DR
TAMPA, FL 33617-7711
Phone number: 813-546-4884
Mailing Address
Mrs. DEBRA ANN WALLACE
5608 KENNY DR
TAMPA, FL 33617-7711
Phone number: 813-546-4884