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

Stacy Wallace

Individual provider Driver · NPI 1386264109

Stacy Wallace is a Driver in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2020
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Practice location Address checks out

324 Kenilworth Ave
Toledo, OH 43610-1456
Phone: (419) 810-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence RX730744 (OH)

Record details

NPI number1386264109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 22, 2020
Last updated in NPPESApril 22, 2020
Certification dateApril 22, 2020
Mailing address324 Kenilworth Ave, Toledo, OH 43610-1456

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