GREGORY ROY WALLACE

VAN NUYS, CA
NPI1073902250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2015-01-12
Last Update Date2015-01-12
Business Address
GREGORY ROY WALLACE MSW
14545 SHERMAN CIR
VAN NUYS, CA 91405-3087
Phone number: 818-374-6901
Mailing Address
GREGORY ROY WALLACE MSW
14545 SHERMAN CIR
VAN NUYS, CA 91405-3087
Phone number: 818-374-6901
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