Miss Latia Marie Wallace, LPN | |
134 Ashland Ln, Aurora, OH 44202-8877 | |
(440) 665-1662 | |
Not Available |
Full Name | Miss Latia Marie Wallace |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 134 Ashland Ln, Aurora, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962194506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 180564 (Ohio) | Primary |
Mailing Address | Practice Location Address |
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Miss Latia Marie Wallace, LPN 134 Ashland Ln, Aurora, OH 44202-8877 Ph: (440) 665-1662 | Miss Latia Marie Wallace, LPN 134 Ashland Ln, Aurora, OH 44202-8877 Ph: (440) 665-1662 |
Secret Denise Harris, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 201 Sandover Dr, Aurora, OH 44202 Phone: 216-502-7877 Fax: 216-502-7877 | |
Janice Newsbaum, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2550 S Parker Road, Float Pool-3rd Floor, Aurora, OH 80014 Phone: 303-636-3016 | |
Ms. Kelly C Brannon, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 10556 Florida St, Aurora, OH 44202 Phone: 440-829-8525 | |
Kelly Glaze, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1139 E Garfield Rd, Aurora, OH 44202 Phone: 440-382-2362 | |
Barbara Washington, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 29201 Aurora, Aurora, OH 44202 Phone: 706-495-0074 |