IndividualActive
Jaldon Wallace
NPI 1306674502 · Contractor · Plymouth Meeting, PA
Provider details
- NPI number
- 1306674502
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
600 W Germantown Pike Ste 400
Plymouth Meeting, PA 19462-1046
Phone: (215) 316-1776
Approximate (ZIP-level) locationGet directions
Mailing address
600 W Germantown Pike Ste 400
Plymouth Meeting, PA 19462-1046
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.