Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHANDELL WALLACE
Active Sole ProprietorMS. SHANDELL WALLACE is a Adult Companion healthcare provider located in LAUDERHILL, Florida. NPI 1154109668 is currently active in the NPPES registry. Verify at CMS.
Adult Companion · LAUDERHILL, FL
Registration Details
- NPI Number
- 1154109668
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2023 (2.950106329791 yrs)
- Last Updated
- Sep 18, 2023
- License
-
236293 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7101 NW 49TH CTLAUDERHILL, FL, 333193456Browse FL providers · Browse ZIP 33319
- Phone
- 6786753512
- Primary Specialty
-
Adult Companion
372600000X
Other Adult Companion Providers in LAUDERHILL, FL
| Name | Credential | NPI |
|---|---|---|
| MARTINE JOSEPH | — | 1073080651 |
| ANGELA MICHELLE JONES | — | 1477162865 |
| LISA CLARKE-MEEKS | — | 1568334357 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.