Search › New Mexico › 171100000X
Robin Wallace, D.O.M., LIC. AC
NPI 1306948948 · on the registry since 2006
Practice
- Address
- 146 Glory Lane
Glorieta, NM 87535 - Phone
- (505) 231-6684
- Fax
- (505) 884-4015
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 171100000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-03-02
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 New Mexico