Shelby Wallace is a student in an organized health care education training program in Phoenix, AZ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Shelby Wallace NPI is 1407424831. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
411 E INDIAN SCHOOL RD APT 2038
PHOENIX, AZ
ZIP 85012-880
Phone: (323) 719-1465
The enumeration date for this NPI number is 6/13/2021 and was last updated on 6/13/2021.