JESSE WALLACE

CHATSWORTH, CA
NPI1174005995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-08-29
Last Update Date2018-08-29
Business Address
JESSE WALLACE
21000 PLUMMER ST
CHATSWORTH, CA 91311-4903
Phone number: 818-882-6400
Mailing Address
JESSE WALLACE
21000 PLUMMER ST
CHATSWORTH, CA 91311-4903
Phone number: 818-882-6400
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