REVELLE WELLOCK

LAKEPORT, CA
NPI1225494354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-01-05
Last Update Date2016-01-05
Business Address
-- REVELLE WELLOCK
1152 S MAIN ST
LAKEPORT, CA 95453-5517
Phone number: 707-263-8795
Mailing Address
-- REVELLE WELLOCK
1152 S MAIN ST
LAKEPORT, CA 95453-5517
Phone number: 707-263-8795