Individual
MARY WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 S ELLIOTT AVE, WENATCHEE, WA 98801-3195
(509) 888-5646
Mailing address
627 S ELLIOTT AVE, WENATCHEE, WA 98801-3195
(509) 888-5646
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60538865
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2091091
—
WA
Enumeration date
05/27/2016
Last updated
12/07/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us