IAN JOSEPH WALLACE

VALLEJO, CA
NPI1013143262
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSY# 23646)
Enumeration Date2009-06-02
Last Update Date2013-07-23
Business Address
Dr. IAN JOSEPH WALLACE Ph.D.
200 MARITIME ACADEMY DR THE CALIFORNIA MARITIME ACADEMY, STUDENT HEALTH SERVICE
VALLEJO, CA 94590-8181
Phone number: 707-654-1170
Mailing Address
Dr. IAN JOSEPH WALLACE Ph.D.
200 MARITIME ACADEMY DR THE CALIFORNIA MARITIME ACADEMY, STUDENT HEALTH SERVICE
VALLEJO, CA 94590-8181
Phone number: 707-654-1170
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