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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS LATIA MARIE WALLACE, LPN

Active Sole Proprietor

Licensed Practical Nurse · AURORA, OH

Registration Details

NPI Number
1962194506
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2023 (2.9404949700728 yrs)
Last Updated
May 23, 2023
License
180564 (OH)
Sole Proprietor
Yes

Practice Information

Address
134 ASHLAND LN
AURORA, OH, 442028877
Browse OH providers · Browse ZIP 44202
Phone
4406651662
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in AURORA, OH

Name Credential NPI
SECRET DENISE HARRIS 1023218591
JANICE NEWSBAUM 1194994202
KELLY GLAZE LPN 1548531205
MS. KELLY C BRANNON LPN 1467850107
BARBARA WASHINGTON LPN 1558941039
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.