Individual provider · Type 1 NPI
Madeline Wallace, DC
Chiropractor · La Jolla, CA
NPI number
1114501327
Active
Practice location
7734 Herschel Ave Ste F
La Jolla, CA 92037-4433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 34226 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1114501327
Madeline Wallace, DC's National Provider Identifier is 1114501327, issued on May 12, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in La Jolla, CA. The record was last updated on May 12, 2021.