RAYVOHN WALLACE

LOS ANGELES, CA
NPI1922840529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-06-12
Last Update Date2024-06-12
Business Address
RAYVOHN WALLACE
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 626-395-7100
Mailing Address
RAYVOHN WALLACE
840 N AVENUE 66
LOS ANGELES, CA 90042-1508
Phone number: 626-395-7100