LATRINA WALLACE

HESPERIA, CA
NPI1124581327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-04-13
Last Update Date2019-04-13
Business Address
LATRINA WALLACE
11776 MARIPOSA RD STE 101
HESPERIA, CA 92345-1622
Phone number: 760-956-2462
Mailing Address
LATRINA WALLACE
312 GROVE AVE
BARSTOW, CA 92311-5449
Phone number: 443-891-4970
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