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Treneice Wallace

NPI 1558256594 · on the registry since 2025

Practice

Address
7487 S State Road 121 # A
Macclenny, FL 32063
Phone
(904) 330-2572

Registry record

Primary taxonomy
163WP0809X
163WP0809X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-10

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 Florida