EBONY WALLACE

CULVER CITY, CA
NPI1720532526
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  747356)
Enumeration Date2016-08-09
Last Update Date2016-08-09
Business Address
-- EBONY WALLACE
9808 VENICE BLVD
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
Mailing Address
-- EBONY WALLACE
9808 VENICE BLVD
CULVER CITY, CA 90232-2732
Phone number: 310-945-3350
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