Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBIN PATRICIA WALLACE, D.O.M., LIC. AC.
ActiveROBIN PATRICIA WALLACE, D.O.M., LIC. AC. is a Acupuncturist healthcare provider located in GLORIETA, New Mexico. NPI 1306948948 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · GLORIETA, NM
Registration Details
- NPI Number
- 1306948948
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 3, 2006 (19.927141660582 yrs)
- Last Updated
- Mar 2, 2009
- Licenses
-
AK000355L (PA)KO000048L (PA)
Practice Information
- Address
-
146 GLORY LANEGLORIETA, NM, 87535Browse NM providers · Browse ZIP 87535
- Phone
- 5052316684
- Fax
- 5058844015
- Primary Specialty
-
Acupuncturist
171100000X
- Additional Specialty
- Acupuncturist
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.