Mary Ruth Wallis
Mary Ruth Wallis is a Licensed Practical Nurse in Eaton, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
2516 Candy Ln Lot 17Eaton, NY 13334-3286
Phone: (315) 679-1638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 332738 (NY) |
|---|
Record details
| NPI number | 1790430650 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 18, 2022 |
| Last updated in NPPES | February 18, 2022 |
| Certification date | February 18, 2022 |