Angela Wallace
Technician, Personal Care Attendant in Stafford, TX. Individual provider (NPI-1).
NPI number1104657352
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1104657352
- Entity type
- Individual (NPI-1)
- Name
- Ms. Angela Wallace
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2024
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
10707 Corporate Dr Ste 250-103Stafford, TX 77477-4095
Phone 281-464-6648
Mailing address
Po Box 450170Houston, TX 77245-0170
Phone 281-464-6648
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