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

LEAH WALLACE

Active Sole Proprietor

LEAH WALLACE is a Supports Brokerage Agency healthcare provider located in CLEVELAND, Ohio. NPI 1962254557 is currently active in the NPPES registry. Verify at CMS.

Supports Brokerage Agency · CLEVELAND, OH

Registration Details

NPI Number
1962254557
Provider Type
Individual
Gender
Female
NPI Issued
Apr 4, 2024 (2.175920402863 yrs)
Last Updated
Apr 6, 2024
Sole Proprietor
Yes

Practice Information

Address
1734 WICKFORD RD
CLEVELAND, OH, 441121208
Browse OH providers · Browse ZIP 44112
Phone
2163741546
Primary Specialty
Supports Brokerage Agency
251X00000X

Other Supports Brokerage Agency Providers in CLEVELAND, OH

Name Credential NPI
ESDA N VELASCO QMHS MA CMS MA 1770076606
CATRINA GASTON 1417635442
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.