Christina N Wallace, MASSAGE PRACTIONER is a
Massage Therapist based in Penngrove, California. Christina N Wallace is licensed to practice in California (license number 30660) and her current practice location is
308 Oak Street, Penngrove, California. She can be reached at her office (for appointments etc.) via phone at
(707) 431-1223.
NPI number for Christina N Wallace is 1639783848 and her current mailing address is Po Box 853, Penngrove, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639783848.
Healthcare Provider's Profile
Full Name | Christina N Wallace |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 308 Oak Street, Penngrove, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639783848
- Provider Enumeration Date: 09/04/2020
- Last Update Date: 09/04/2020
Medical Identifiers
Medical identifiers for Christina N Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639783848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 30660 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christina N Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Christina N Wallace, MASSAGE PRACTIONER Po Box 853, Penngrove, CA 94951-0853 Ph: (707) 431-1223 | Christina N Wallace, MASSAGE PRACTIONER 308 Oak Street, Penngrove, CA 94951 Ph: (707) 431-1223 |
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