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Delicia Wallace

NPI 1427867621 · on the registry since 2025 · sole proprietor

Practice

Address
12707 Fowler Cir
Omaha, NE 68164
Phone
(402) 917-3602

Registry record

Primary taxonomy
372500000X
372500000X
Sex
Female
Record last updated
2025-01-02

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 Nebraska