LORIEN RACHEL WALLACE

FONTANA, CA
NPI1518220722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: CA  20A13168)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-06-21
Last Update Date2021-12-03
Business Address
-- LORIEN RACHEL WALLACE DO
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-5000
Mailing Address
-- LORIEN RACHEL WALLACE DO
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-5000