MANUEL PARKER WALLACE

OXNARD, CA
NPI1477320174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-12-04
Last Update Date2024-01-04
Business Address
Mr. MANUEL PARKER WALLACE SUD I
2150 N VICTORIA AVE
OXNARD, CA 93036-7791
Phone number: 805-382-6296
Mailing Address
Mr. MANUEL PARKER WALLACE SUD I
2150 N VICTORIA AVE
OXNARD, CA 93036-7791
Phone number: 805-382-6296
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