Search › California › 101YM0800X
Wallace Spinks
NPI 1285517409 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1405 Grand River Ave
Shasta Lake, CA 96019 - Phone
- (530) 225-5556
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-26
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