Gabriel Wayne Wallace

Individual provider Personal Care Attendant · NPI 1932571056

Gabriel Wayne Wallace is a Personal Care Attendant in Prescott, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in: MI
In the registry since: 2015

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Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Prescott, MI

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Specialties & licences

Personal Care Attendant (primary)	Taxonomy 3747P1801X · Licence 7666037 (MI)

Record details

NPI number	1932571056
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	October 28, 2015
Last updated in NPPES	October 28, 2015