Search › Arizona › 253J00000X
Melissa Wallace
NPI 1245124270 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2797 W 21st Ln
Yuma, AZ 85364 - Phone
- (928) 386-0844
Registry record
- Primary taxonomy
- 253J00000X
253J00000X
- Also registered as
- 385HR2065X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-04
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 Arizona