All Medicaid billing entities listing WALLACE, RAYNETTA (OPERATIONS MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Pennsylvania | 1 | $14K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FAMILY PRACTICE ASSOCIATES OF UPPER DUBLIN | FORT WASHINGTON, PA | Family Medicine Physician | $14K |