STACY WALLACE
Driver
Active
Individual
NPI: 1386264109
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Driver | 172A00000X | Yes | RX730744 (OH) |
Frequently Asked Questions
NPI 1386264109 is the National Provider Identifier for STACY WALLACE, a Driver provider located in Toledo, OH. This NPI was enumerated on April 22, 2020.
STACY WALLACE practices at 324 KENILWORTH AVE, Toledo, OH 43610.
Quick Facts
- NPI
- 1386264109
- Type
- Individual
- Enumerated
- Apr 22, 2020
- Last Updated
- Apr 22, 2020
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