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Christina Wallace
NPI 1861811671 · on the registry since 2014 · sole proprietor
Practice
- Address
- 579 Via Del Caballo
San Marcos, CA 92078 - Phone
- (503) 883-1686
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-21
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