JOHN NELL WALLACE

SANTA ROSA, CA
NPI1851084966
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2023-06-02
Last Update Date2023-06-02
Business Address
JOHN NELL WALLACE
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405-7575
Phone number: 707-565-7460
Mailing Address
JOHN NELL WALLACE
1430 NEOTOMAS AVE
SANTA ROSA, CA 95405-7575
Phone number: 707-565-7460
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