JANNA WALLACE

PLACERVILLE, CA
NPI1750766937
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-07-29
Last Update Date2015-07-29
Business Address
-- JANNA WALLACE RADTI
6387 MOTHER LODE DR SPC 78
PLACERVILLE, CA 95667-8225
Phone number: 530-409-4310
Mailing Address
-- JANNA WALLACE RADTI
6387 MOTHER LODE DR SPC 78
PLACERVILLE, CA 95667-8225
Phone number: 530-409-4310
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