Bianca Nichole Wallace
Bianca Nichole Wallace is a Doula in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2024.
- Licensed in
- AR
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
31 E Center St Ste 205Fayetteville, AR 72701-5385
Phone: (479) 388-1513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 9289 (AR) |
|---|---|
| Doula | Taxonomy 374J00000X |
Record details
| NPI number | 1063242337 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 2, 2024 |
| Last updated in NPPES | August 2, 2024 |
| Certification date | August 2, 2024 |
| Mailing address | 31 E Center St Ste 205, Fayetteville, AR 72701-5385 |
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