JOHNNY MICHAEL WALLACE

SAN FRANCISCO, CA
NPI1861073413
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-04-15
Last Update Date2021-04-15
Business Address
JOHNNY MICHAEL WALLACE
139 HUGO ST APT 3
SAN FRANCISCO, CA 94122-2760
Phone number: 310-691-3644
Mailing Address
JOHNNY MICHAEL WALLACE
5940 EL ESCORPION RD
WOODLAND HILLS, CA 91367-3923
Phone number: 818-620-6005
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