SUSAN MARIE WALLIS LA VON

CAMARILLO, CA
NPI1811741960
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-04-15
Last Update Date2024-04-15
Business Address
SUSAN MARIE WALLIS LA VON
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
Mailing Address
SUSAN MARIE WALLIS LA VON
1756 S LEWIS RD
CAMARILLO, CA 93012-8520
Phone number: 805-383-3669
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