Melissa Marie Wallace

NPI #1245124270 in Yuma, Arizona

Provider Information

NPI Number: 1245124270
Entity Type: Individual
Name: Melissa Marie Wallace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Foster Care Agency
Enumeration Date: Jun 4, 2025
Last Updated: Jun 4, 2025

Practice Location

Address: 2797 W 21ST LN
City: Yuma
State: Arizona
ZIP Code: 85364-6059
Phone: (928) 386-0844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care - Respite Care, Physical Disabilities, Child — Respite Care, Physical Disabilities, Child	385HR2065X
Foster Care Agency	253J00000X	Primary

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