JORDAN MALIK WALLACE

WASHINGTON, DC
NPI1366142101
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-03-09
Last Update Date2023-03-09
Business Address
JORDAN MALIK WALLACE
1313 NEW YORK AVE NW
WASHINGTON, DC 20005-4701
Phone number: 202-737-6191
Mailing Address
JORDAN MALIK WALLACE
1313 NEW YORK AVE NW
WASHINGTON, DC 20005-4701
Phone number: 202-737-6191
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