CALEB WALLACE

CROSS LANES, WV
NPI1962124388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2022-09-13
Last Update Date2022-09-13
Business Address
CALEB WALLACE
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
Mailing Address
CALEB WALLACE
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
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