WALLACE ANDREW LAFONT

OAKLAND, CA
NPI1285914507
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2011-08-17
Last Update Date2011-08-23
Business Address
-- WALLACE ANDREW LAFONT
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040
Mailing Address
-- WALLACE ANDREW LAFONT
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-653-5040