JAMES DORAN WALLACE

ROSEVILLE, CA
NPI1013124908
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CA  PA14039)
Additional Taxonomies111NX0800X Chiropractor Orthopedic
(Licence: CA  12087)
Enumeration Date2007-05-17
Last Update Date2009-05-16
Business Address
DR. JAMES DORAN WALLACE P.A.,D.C
1650 LEAD HILL BLVD SUITE 600
ROSEVILLE, CA 95661-3061
Phone number: 916-765-3785
Mailing Address
DR. JAMES DORAN WALLACE P.A.,D.C
8948 SALMON FALLS DR
SACRAMENTO, CA 95826-1923
Phone number: 916-765-3785