Stacy Wallace Valid NPI
Individual provider · Driver · Toledo, OH
- NPI
- 1386264109
- Type
- Individual (Type 1)
- Primary specialty
- Driver
- Specialty group
- Other Service Providers
- Taxonomy code
- 172A00000X
- License number
- RX730744 (OH)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-04-22
- Last updated
- 2020-04-22
Practice location
324 Kenilworth Ave
Toledo, OH 43610-1456
(419) 810-0900