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Keivunia Wallace
Home Health Aide in Youngstown, Ohio
NPI 1962169540

Keivunia Wallace is a Home Health Aide based in Youngstown, OH. Keivunia Wallace practices in Youngstown, OH. The NPI Number for Keivunia Wallace is 1962169540 and holds a License No. (Ohio).

The current practice location address for Keivunia Wallace is 762 Palmer Ave, Youngstown, OH and can be reached out via phone at 330-777-9287.

Location: 762 Palmer Ave, Youngstown, OH, 44502-2531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962169540
Provider Name
Keivunia Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
762 Palmer Ave, Youngstown, OH, 44502-2531
Phone Number
330-777-9287
Fax Number
Provider Enumeration Date
11/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
762 Palmer Ave
City
Youngstown
State
Ohio
Zip
44502-2531
Phone Number
330-777-9287
Fax Number
person
Provider Business Mailing Address Details
Address
762 Palmer Ave
City
Youngstown
State
Ohio
Zip
44502-2531
Phone Number
330-777-9287
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
(Ohio)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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