Individual
EMILY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57550 MITCHELL RD, ANZA, CA 92539-9287
(951) 763-1840
Mailing address
42586 BRADSHAW DR, TEMECULA, CA 92592-6639
(951) 331-5575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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