MILES THOMAS WALLACE

SAN DIEGO, CA
NPI1154085231
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-10-26
Last Update Date2022-01-05
Business Address
MILES THOMAS WALLACE IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
Mailing Address
MILES THOMAS WALLACE IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
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