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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MELISSA MARIE WALLACE

Active Sole Proprietor

MELISSA MARIE WALLACE is a Foster Care Agency healthcare provider located in YUMA, Arizona. NPI 1245124270 is currently active in the NPPES registry. Verify at CMS.

Foster Care Agency · YUMA, AZ

Registration Details

NPI Number
1245124270
Provider Type
Individual
Gender
Female
NPI Issued
Jun 4, 2025 (1.2201006570042 yrs)
Last Updated
Jun 4, 2025
Licenses
780 (AZ)
780 (AZ)
Sole Proprietor
Yes

Practice Information

Address
2797 W 21ST LN
YUMA, AZ, 853646059
Browse AZ providers · Browse ZIP 85364
Phone
9283860844
Primary Specialty
Foster Care Agency
253J00000X
Additional Specialty
Foster Care Agency

Other Foster Care Agency Providers in YUMA, AZ

Name Credential NPI
MS. CYNTHIA DIANNE BRODIE 1891086492
MR. ALFONSO SOLIS JR. 1811363476
SARA ZERMENO 1215586128
ALISSA J NIEVES 1922774470
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.