Sunday Shanntel Wallace
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1295581007
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1295581007
- Entity type
- Individual (NPI-1)
- Name
- Sunday Shanntel Wallace
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2024
- Certification date
- Apr 24, 2024
- Last updated
- Apr 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
2551 S Fort Apache Rd Ste 102Las Vegas, NV 89117-8700
Phone 702-385-0920
Mailing address
2551 S Fort Apache Rd Ste 102Las Vegas, NV 89117-8700
Phone 702-385-0920
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