Search › Ohio › 172A00000X
Stacy Wallace
NPI 1386264109 · on the registry since 2020 · sole proprietor
Practice
- Address
- 324 Kenilworth Ave
Toledo, OH 43610 - Phone
- (419) 810-0900
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-22
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 Ohio