DEMETRE WALLACE

ALBUQUERQUE, NM
NPI1639017445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2026-03-23
Last Update Date2026-03-23
Business Address
DEMETRE WALLACE CHW
300 CENTRAL AVE SW STE 1500E
ALBUQUERQUE, NM 87102-3293
Phone number: 505-369-1731
Mailing Address
DEMETRE WALLACE CHW
300 CENTRAL AVE SW STE 1500E
ALBUQUERQUE, NM 87102-3293
Phone number: 505-369-1731
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