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Heather Wallace
NPI 1154197929 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1361 E Cypress Ave Ste E
Redding, CA 96002 - Phone
- (530) 691-9940
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California