STACIA MARIE WALLACE

SACRAMENTO, CA
NPI1750995452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy372600000X Adult Companion
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2020-09-01
Last Update Date2025-12-09
Business Address
STACIA MARIE WALLACE
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number: 916-890-3000
Mailing Address
STACIA MARIE WALLACE
3815 MARCONI AVE
SACRAMENTO, CA 95821-3867
Phone number: 916-890-3000
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