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Sharandell Wallace
NPI 1235087008 · on the registry since 2026 · sole proprietor
Practice
- Address
- 605 Sw Us Highway 40 # 146
Blue Springs, MO 64014 - Phone
- (816) 479-1426
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-18
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 Missouri