Aaron Wallace

NPI 1023107414 - Counselor - 101YM0800X

NPI Details
NPI 1023107414
Gender Male
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2130 E 4TH ST
SUITE 200
SANTA ANA CA, 92705-3818, US
Phone (714) 543-5437
Fax
Business Location
2130 E 4TH ST
SUITE 200
SANTA ANA CA, 92705-3818, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Aaron Wallace NPI is 1023107414, taxonomy code is 101YM0800X Aaron Wallace physically located at 2130 E 4th St, Santa Ana CA, 92705-3818. NPI Number Aaron Wallace has the Individual type.

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1023107414 NPI number is provided on an as is basis without warranty of any kind. 1023107414 is maintained by the National Plan & Provider Enumeration System. The contents of Aaron Wallace are for informational purposes only.