NPI 1447936729
Monica Joyce Wallace
Practice location
- Address
- 21862 State Highway 59 S, Robertsdale, AL 36567-6711
- Phone
- (901) 949-9459
- Mailing address
- 21862 Hwy 59, Robertsdale, AL 36567
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1447936729
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jun 2023
- Record last updated
- 22 Jun 2023
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.