JOHN WALLACE

MODESTO, CA
NPI1538740774
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-04-19
Last Update Date2023-10-23
Business Address
JOHN WALLACE
1620 CUMMINS DR
MODESTO, CA 95358-6400
Phone number: 209-969-0363
Mailing Address
JOHN WALLACE
1620 CUMMINS DR
MODESTO, CA 95358-6400
Phone number: 209-969-0363
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