MELISSA MARIE WALLACE

YUMA, AZ
NPI1245124270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy253J00000X Foster Care Agency
(Licence: AZ  780)
Additional Taxonomies385HR2065X Respite Care, Respite Care, Physical Disabilities, Child
(Licence: AZ  780)
Enumeration Date2025-06-04
Last Update Date2025-06-04
Business Address
MELISSA MARIE WALLACE
2797 W 21ST LN
YUMA, AZ 85364-6059
Phone number: 928-386-0844
Mailing Address
MELISSA MARIE WALLACE
2797 W 21ST LN
YUMA, AZ 85364-6059
Phone number: 928-386-0844