DE VORIA WALLACE

LOS ANGELES, CA
NPI1144777483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-09-02
Last Update Date2016-09-02
Business Address
-- DE VORIA WALLACE
425 S BROADWAY
LOS ANGELES, CA 90013-1102
Phone number: 213-213-0100
Mailing Address
-- DE VORIA WALLACE
6666 GREEN VALLEY CIR
CULVER CITY, CA 90230-7068
Phone number: 310-305-8878