Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrea Namon Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083264485

Andrea Namon Wallace is a Student in an Organized Health Care Education/Training Program in Culver City, California. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Culver City, CA

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083264485
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2019
Last updated in NPPESSeptember 17, 2019

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