TINA WALLACE

SACRAMENTO, CA
NPI1093846826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-03-07
Last Update Date2007-07-08
Business Address
-- TINA WALLACE
1815 STOCKTON BLVD
SACRAMENTO, CA 95816-6653
Phone number: 916-492-7240
Mailing Address
-- TINA WALLACE
1141 34TH AVE
SACRAMENTO, CA 95822-2403
Phone number:
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