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Austin Wallace, RSLD
NPI 1831754209 · on the registry since 2019
Practice
- Address
- 2138 N Tustin St
Orange, CA 92865 - Phone
- (714) 450-4487
- Fax
- (714) 637-0020
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-01
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