DEMETRIUS RICHARD WALLACE

VICTORVILLE, CA
NPI1073186540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-07-21
Last Update Date2021-07-21
Business Address
Mr. DEMETRIUS RICHARD WALLACE
13733 ARTHUR DR
VICTORVILLE, CA 92392-0205
Phone number: 760-912-0467
Mailing Address
Mr. DEMETRIUS RICHARD WALLACE
PO BOX 1477
VICTORVILLE, CA 92393-1477
Phone number:
Similar providers in Victorville, CA
JESSICA REYES
DEBBIE WASHINGTON-FINNEY
TIANA REED
ELLEN BOURNE
STACEY MARIE BAILEY
TAMMY LAJAUN MERRITT
MONICA LILLY FERNANDEZ
ANDREA STAR GARCIA
HAZELLE FRANCIS
BRENDA KING