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Search › California › 104100000X

Nathan Wallace

NPI 1710353917 · on the registry since 2015

Practice

Address
2608 Victor Ave Ste A
Redding, CA 96002
Phone
(530) 722-1022
Fax
(530) 722-1058
Organisation at this address
Interim Assisted Care Of Northern California
Interim Assisted Care Of Northern California
Interim Assisted Care Of Northern California, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Male
Record last updated
2024-01-30

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