LATRINA WALLACE

BARSTOW, CA
NPI1124581327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101Y00000X Counselor
171M00000X Case Manager/Care Coordinator
174H00000X Health Educator
225C00000X Rehabilitation Counselor
372600000X Adult Companion
374U00000X Home Health Aide
Enumeration Date2019-04-13
Last Update Date2025-10-01
Business Address
LATRINA WALLACE
312 GROVE AVE
BARSTOW, CA 92311-5449
Phone number: 443-891-4970
Mailing Address
LATRINA WALLACE
312 GROVE AVE
BARSTOW, CA 92311-5449
Phone number: 443-891-4970