MONTANA WALLACE

HUNTINGTON, WV
NPI1922723345
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-10-07
Last Update Date2022-10-07
Business Address
MONTANA WALLACE
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number: 304-525-8014
Mailing Address
MONTANA WALLACE
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number: