Susan Wallace, L.AC.

NPI #1952426025 in Albany, California

Provider Information

NPI Number: 1952426025
Entity Type: Individual
Name: Susan Wallace, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Mar 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1009 SOLANO AVE
Address 2: # A
City: Albany
State: California
ZIP Code: 94706-1617
Phone: (510) 559-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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