JACOB WALLACE

Homemaker

NPI: 1306709852Individual

Specialties, Licenses & Credentials

HomemakerPrimary

Homemaker

Code: 376J00000X

Contact & Hours

Address: 860 GARVER RD
MIDDLETOWN, OH 45044
Phone: (513) 300-4203

Quick Facts

NPI: 1306709852
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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