DAVID SHANE WALLER

GARDEN GROVE, CA
NPI1427864479
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1586871124)
Enumeration Date2024-12-04
Last Update Date2024-12-04
Business Address
MR. DAVID SHANE WALLER RADT, CPR, FIRST AID
13212 CHAPMAN AVE
GARDEN GROVE, CA 92840-4414
Phone number: 854-588-1422
Mailing Address
MR. DAVID SHANE WALLER RADT, CPR, FIRST AID
13212 CHAPMAN AVE
GARDEN GROVE, CA 92840-4414
Phone number:
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