NPI 1386202125
Sasha Lee B Wallace
Practice location
- Address
- 6412 N University Dr STE 114, Tamarac, FL 33321-4002
- Phone
- (954) 726-6722
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1386202125
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Jun 2019
- Record last updated
- 5 Jun 2019
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.