Shannon Wallace
NPI #1114808110 in Winchester, California
Provider Information
- NPI Number
- 1114808110
- Entity Type
- Individual
- Name
- Shannon Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Doula
- Enumeration Date
- Sep 8, 2025
- Last Updated
- Sep 8, 2025
Practice Location
- Address
- 31835 EMERALD DR
- City
- Winchester
- State
- California
- ZIP Code
- 92596-9080
- Phone
- (210) 589-0046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Doula |
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