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