NPI 1093364853
Desiree M Wallace, CNA
Practice location
- Address
- 59 Bangor St, Houlton, ME 04730-1740
- Phone
- (207) 538-3700
- Fax
- (207) 528-2880
- Mailing address
- 529 S Patten Rd, Patten, ME 04765-3007
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1093364853
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Sep 2019
- Record last updated
- 9 Sep 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.