SAMUEL ROBERT WALLACE-DOUGLAS

MENIFEE, CA
NPI1679276257
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-03-23
Last Update Date2023-03-23
Business Address
SAMUEL ROBERT WALLACE-DOUGLAS
27990 SHERMAN RD
MENIFEE, CA 92585-9155
Phone number: 951-309-9135
Mailing Address
SAMUEL ROBERT WALLACE-DOUGLAS
5850 GRANITE PKWY STE 600
PLANO, TX 75024-6753
Phone number:
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