ELISE LA KEISHA WALLACE

COMPTON, CA
NPI1376079558
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2017-05-05
Last Update Date2017-05-05
Business Address
Miss ELISE LA KEISHA WALLACE 172v00000x
921 E COMPTON BLVD
COMPTON, CA 90221-3303
Phone number: 310-668-6947
Mailing Address
Miss ELISE LA KEISHA WALLACE 172v00000x
921 E COMPTON BLVD
COMPTON, CA 90221-3303
Phone number: 310-668-6947
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