NPI 1013528892

Antia Lynn Marshall-Wallace

Practitioner Nurse's Aide Youngstown, OH

Practice location

Address: 258 Pasadena Ave, Youngstown, OH 44507-1527
Phone: (330) 951-3876

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 401777960815 (OH)

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Registry record

NPI: 1013528892
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2020
Record last updated: 13 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.