Janyce Wallace
NPI #1255843330 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1255843330
- Entity Type
- Individual
- Name
- Janyce Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 30, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 7700 RANCHWOOD DR NW
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87120-4020
- Phone
- (505) 836-3474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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