MISS MICHELLE WALLACE, LMT
Specialist
Active
Individual
NPI: 1497091805
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | 12250 (OR) |
Frequently Asked Questions
NPI 1497091805 is the National Provider Identifier for MISS MICHELLE WALLACE, LMT, a Specialist provider located in Eugene, OR. This NPI was enumerated on December 13, 2012.
MISS MICHELLE WALLACE, LMT practices at 508 BLAIR BLVD, Eugene, OR 97402.
Quick Facts
- NPI
- 1497091805
- Type
- Individual
- Enumerated
- Dec 13, 2012
- Last Updated
- Dec 13, 2012
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