ISHMIEL WALLACE

GARDEN GROVE, CA
NPI1629709373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2022-06-23
Last Update Date2022-06-23
Business Address
ISHMIEL WALLACE
12465 LEWIS ST STE 102
GARDEN GROVE, CA 92840-4658
Phone number: 855-223-7123
Mailing Address
ISHMIEL WALLACE
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 855-223-7123