LAEL A WALZ

GRASS VALLEY, CA
NPI1689821654
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2008-08-21
Last Update Date2008-08-21
Business Address
-- LAEL A WALZ
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-205-7932
Mailing Address
-- LAEL A WALZ
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-205-7932