STEPHEN LAMARE WALLER

OAKLAND, CA
NPI1922724269
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-10-18
Last Update Date2022-10-18
Business Address
STEPHEN LAMARE WALLER
7200 BANCROFT AVE STE 133
OAKLAND, CA 94605-2480
Phone number: 510-553-8500
Mailing Address
STEPHEN LAMARE WALLER
7200 BANCROFT AVE STE 133
OAKLAND, CA 94605-2480
Phone number: 510-553-8500