SearchArizona175F00000X

Kristine Wallace, N.D

NPI 1841742863 · on the registry since 2016 · sole proprietor

Practice

Address
10153 N. Hampton Avenue
Suite 104
Mesa, AZ 85209
Phone
(480) 535-5688

Registry record

Primary taxonomy
175F00000X
175F00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-10-25

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 Arizona