IndividualActive
Latonia Wallace, CNA
NPI 1235581844 · Nurse's Aide · Columbia, SC
Provider details
- NPI number
- 1235581844
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- No
- License
- 171131E (SC)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
7535 Pell St Apt B
Columbia, SC 29209-4035
Phone: (803) 237-5722
Approximate (ZIP-level) locationGet directions
Mailing address
7535 Pell St Apt B
Columbia, SC 29209-4035
Registry dates
- Enumerated
- 2016-07-07
- Last updated
- 2016-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.