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Jessica Wallace

NPI 1073940888 · on the registry since 2013

Practice

Address
15611 Pomerado Rd Ste 535
Poway, CA 92064
Phone
(858) 279-1223
Organisation at this address
William Grant Md Inc
Arch Health Partners
Sudabeh Moein, Md,Inc
Centre For Health Care
North County Geriatrics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
93

Additional practice sites

  • 8376 Hercules St, La Mesa, CA

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California