SUSAN L. WALLACE

PANORAMA CITY, CA
NPI1255402160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: CA  G42602)
Enumeration Date2006-11-13
Last Update Date2020-04-09
Business Address
SUSAN L. WALLACE MD
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
Mailing Address
SUSAN L. WALLACE MD
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
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