JOHNNY LEE WALLACE

BAKERSFIELD, CA
NPI1316800345
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Enumeration Date2025-12-05
Last Update Date2025-12-08
Business Address
JOHNNY LEE WALLACE
3401 WIBLE RD APT 91
BAKERSFIELD, CA 93309-6536
Phone number: 760-379-3412
Mailing Address
JOHNNY LEE WALLACE
PO BOX 1000
BAKERSFIELD, CA 93302-1000
Phone number: 760-379-3412
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