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Audra Wallace
NPI 1841894359 · on the registry since 2020
Practice
- Address
- 6183 Paseo Del Norte Ste 140
Carlsbad, CA 92011 - Phone
- (760) 942-8663
- Organisation at this address
- Surgery One, Llc
Crc Ed Treatment, Llc
Meraki Management- Ca Llc
Michael K. Tracy, M.D., Pc
Physiotherapy Associate IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-24
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