| Cynthia Wallace, LAC | |
|
4356 Bonney Rd, Building 2 Suite 103, Virginia Beach, VA 23452-1200 | |
| (757) 497-3111 | |
| Not Available |
| Full Name | Cynthia Wallace |
|---|---|
| Gender | Female |
| Speciality | Acupuncturist |
| Location | 4356 Bonney Rd, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912581158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | 0121000216 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Wallace, LAC 4356 Bonney Rd, Building 2 Suite 103, Virginia Beach, VA 23452-1200 Ph: (757) 497-3111 | Cynthia Wallace, LAC 4356 Bonney Rd, Building 2 Suite 103, Virginia Beach, VA 23452-1200 Ph: (757) 497-3111 |
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