Joey Wallace
NPI 1386575827 · on the registry since 2026 · sole proprietor
Practice
- Address
- 9401 Braken Ct
Fredericksburg, VA 22408 - Phone
- (301) 379-5971
- Fax
- (301) 379-5971
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-26
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 Virginia