Maya Wallace
Maya Wallace is a Student in an Organized Health Care Education/Training Program in Birmingham, Alabama. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
625 19th St SBirmingham, AL 35233-1900
Phone: (205) 934-5042
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1487337382 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2023 |
| Last updated in NPPES | April 3, 2026 |
| Certification date | April 3, 2026 |
| Mailing address | 625 19th St S, Birmingham, AL 35233-1900 |
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