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Athena Wallis
NPI 1528963261 · on the registry since 2026 · sole proprietor
Practice
- Address
- 2484 Natomas Park Dr Ste 100
Sacramento, CA 95833 - Phone
- (916) 900-3130
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-10-12
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 California