David Wallach
Contractor in Raleigh, NC. Individual provider (NPI-1).
NPI number1033595772
StatusActive
Last updated in NPPESAug 5, 2015
Details
- NPI
- 1033595772
- Entity type
- Individual (NPI-1)
- Name
- David Wallach
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2015
- Last updated
- Aug 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 54270 | NC | Yes |
Practice location
3100 Cone Manor LnRaleigh, NC 27613-6607
Phone 919-272-8230
Mailing address
3100 Cone Manor LnRaleigh, NC 27613-6607
Phone 919-272-8230
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