Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robin Patricia Wallace, DOM, LICAC

Individual provider Acupuncturist · NPI 1306948948

Robin Patricia Wallace, DOM, LICAC is an Acupuncturist in Glorieta, New Mexico. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

146 Glory Ln
Glorieta, NM 87535
Phone: (505) 231-6684
Fax: (505) 884-4015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence KO000048L (PA)
Acupuncturist Taxonomy 171100000X · Licence AK000355L (PA)

Record details

NPI number1306948948
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOM , LICAC
Sole proprietorNo
NPI enumeratedSeptember 3, 2006
Last updated in NPPESMarch 2, 2009