STACIA WALLACE
Adult Companion
Active
Individual
NPI: 1750995452
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Adult Companion | 372600000X | Yes | - |
Frequently Asked Questions
NPI 1750995452 is the National Provider Identifier for STACIA WALLACE, a Adult Companion provider located in Sacramento, CA. This NPI was enumerated on September 1, 2020.
STACIA WALLACE practices at 3815 MARCONI AVE, Sacramento, CA 95821.
Quick Facts
- NPI
- 1750995452
- Type
- Individual
- Enumerated
- Sep 1, 2020
- Last Updated
- Dec 9, 2025
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