BRANDON M WALLACE

LOS ANGELES, CA
NPI1316426679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA  E5705)
Enumeration Date2018-08-08
Last Update Date2020-08-27
Business Address
Dr. BRANDON M WALLACE DPM
1701 E CESAR E CHAVEZ AVE STE 510
LOS ANGELES, CA 90033-2488
Phone number: 323-269-5205
Mailing Address
Dr. BRANDON M WALLACE DPM
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033-2414
Phone number:
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