GLENN WALLACE

BOULDER CITY, NV
NPI1013410778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2018-03-08
Last Update Date2018-03-08
Business Address
GLENN WALLACE
200 WILSON CIR
BOULDER CITY, NV 89005-4401
Phone number: 702-294-7100
Mailing Address
GLENN WALLACE
200 WILSON CIR
BOULDER CITY, NV 89005-4401
Phone number:
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