SERGIO WALLACE

TAMPA, FL
NPI1720525728
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2017-01-27
Last Update Date2017-01-27
Business Address
-- SERGIO WALLACE
8201 CANTERBURY LAKE BLVD
TAMPA, FL 33619-6671
Phone number: 727-657-8299
Mailing Address
-- SERGIO WALLACE
8201 CANTERBURY LAKE BLVD
TAMPA, FL 33619-6671
Phone number: