CHRISTOPHER A WALLACE

SAN DIEGO, CA
NPI1003101775
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-06-10
Last Update Date2011-06-10
Business Address
-- CHRISTOPHER A WALLACE IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-5000
Phone number: 619-532-7801
Mailing Address
-- CHRISTOPHER A WALLACE IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-5000
Phone number:
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