Wallace, Stephanie Celeste

Wallace, Stephanie Celeste is an sole proprietor health care provider with primary practice located at 1000 Vale Terrace Dr , Vista CA 92084-5218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wallace, Stephanie Celeste can be contacted via phone (760) 631-5000.

Contact Information

Primary practice address
1000 Vale Terrace Dr Vista CA 92084-5218
Phone: (760) 631-5000
Fax: (760) 414-3892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19629 California

Profile Details

NPI number 1518104942
LBN Legal business name Wallace, Stephanie Celeste
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2009
Last updated Sep 13th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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