Individual
MS. ANDREA LYNN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-3427
(209) 476-3142
Mailing address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-3427
(209) 476-3142
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU 2352
CA
Other
Enumeration date
11/17/2006
Last updated
02/11/2022
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