BRUCE WALLACE

WAIANAE, HI
NPI1689341679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-08-26
Last Update Date2021-08-26
Business Address
BRUCE WALLACE
85-888 FARRINGTON HWY
WAIANAE, HI 96792-2403
Phone number: 808-696-9498
Mailing Address
BRUCE WALLACE
86-226 FARRINGTON HWY
WAIANAE, HI 96792-3128
Phone number: 808-696-9498