NPI 1255975801

Alycia Grace Wallace

Practitioner Peer Specialist Orange, CA

Practice location

Address: 401 S Tustin St Bldg C, Orange, CA 92866-2550
Phone: (714) 361-4860
Fax: (714) 361-4861

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in California →

Registry record

NPI: 1255975801
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2019
Record last updated: 6 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.