Alycia Grace Wallace
Alycia Grace Wallace is a Peer Specialist in Orange, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
401 S Tustin St Bldg COrange, CA 92866-2550
Phone: (714) 361-4860
Fax: (714) 361-4861
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1255975801 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 6, 2019 |
| Last updated in NPPES | November 6, 2019 |
| Mailing address | 401 S Tustin St Bldg C, Orange, CA 92866-2550 |
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