LANCE WAYNE WALCOTT

INDIO, CA
NPI1942890470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: CA  171M00000X)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-01-19
Last Update Date2024-11-01
Business Address
Mr. LANCE WAYNE WALCOTT Case manager
44199 MONROE ST
INDIO, CA 92201-3096
Phone number: 951-780-2541
Mailing Address
Mr. LANCE WAYNE WALCOTT Case manager
44199 MONROE ST
INDIO, CA 92201-3096
Phone number: