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Christal Wallace
NPI 1891340857 · on the registry since 2019 · sole proprietor
Practice
- Address
- 17459 N Flagstaff Way
Nampa, ID 83687 - Phone
- (785) 640-5293
- Organisation at this address
- Key Solutions
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Female
- Record last updated
- 2021-09-24
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 Idaho