person
Mr. Timothy Thomas Wallace JR., RN
Psychiatric/Mental Health Registered Nurse in Brecksville, Ohio
NPI 1003072414

Timothy Thomas Wallace JR. is a Psychiatric/Mental Health Registered Nurse based in Brecksville, OH and is specialized in Psychiatric/Mental Health. Timothy Thomas Wallace JR. practices in Brecksville, OH and has the professional credentials of RN. The NPI Number for Timothy Thomas Wallace JR. is 1003072414 and holds a License No. RN295020 (Ohio).

The current practice location address for Timothy Thomas Wallace JR. is 10000 Brecksville Rd, Brecksville, OH and can be reached out via phone at 440-526-3030. You can also correspond with Timothy Thomas Wallace JR. through the mailing address at 10000 BRECKSVILLE RD, BRECKSVILLE, OH - 44141-3204 (mailing address contact number: 440-526-3030).

Location: 10000 Brecksville Rd, Brecksville, OH, 44141-3204
person
Provider Profile Details
NPI Number
1003072414
Provider Name
Timothy Thomas Wallace JR.
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
10000 Brecksville Rd, Brecksville, OH, 44141-3204
Phone Number
440-526-3030
Fax Number
Provider Enumeration Date
08/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10000 Brecksville Rd
City
State
Zip
44141-3204
Phone Number
440-526-3030
Fax Number
person
Provider Business Mailing Address Details
Address
10000 Brecksville Rd
City
State
Zip
44141-3204
Phone Number
440-526-3030
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN295020 (Ohio)
Definition
Definition to come...
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