CHANTAY WALLACE

Licensed Practical Nurse

NPI: 1285104760Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

766721987(NY)

Contact & Hours

Address: 142 W 143RD ST APT 3A
NEW YORK, NY 10030
Phone: (917) 916-2216

Quick Facts

NPI: 1285104760
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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