Search › Arizona › 225700000X
Taffy Wallace
NPI 1942897061 · on the registry since 2020 · sole proprietor
Practice
- Address
- 12211 N Paradise Village Pkwy S Apt 105
Phoenix, AZ 85032 - Phone
- (310) 743-4183
- Organisation at this address
- Az Lice Removal Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-22
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