WILLIAM J WALLACH

TAMPA, FL
NPI1720668551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-14
Last Update Date2021-04-14
Business Address
WILLIAM J WALLACH
12901 BRUCE B DOWNS BLVD UNIT 715
TAMPA, FL 33612-4799
Phone number: 813-396-9459
Mailing Address
WILLIAM J WALLACH
12901 BRUCE B DOWNS BLVD UNIT 715
TAMPA, FL 33612-4742
Phone number: 813-396-0075