SearchNevada374U00000X

Cynthia Wallace

NPI 1427677848 · on the registry since 2020 · sole proprietor

Practice

Address
4513 Minaret Way
North Las Vegas, NV 89031
Phone
(702) 934-7178

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-15

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 Nevada