Mechelle Dion Wallace
NPI #1649390790 in Madera, California
Provider Information
- NPI Number
- 1649390790
- Entity Type
- Individual
- Name
- Mechelle Dion Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Mar 30, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 126 N B ST
- City
- Madera
- State
- California
- ZIP Code
- 93638-3219
- Phone
- (559) 661-5194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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