Jacob Wallace II

NPI 1386809697 - Counselor - 101YM0800X

NPI Details
NPI 1386809697
Gender Male
Enumeration Date 07/25/2008
Last Updated 07/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
OAKLAND CA, 94602-2529, US
Phone (510) 531-3111
Fax (510) 530-8083
Business Location
3419 69TH AVE APT 102
OAKLAND CA, 94605-2574, US
Phone (510) 569-2552
Taxonomy Code 101YM0800X
License State
License Number
Remove 1386809697 NPI Number

According to our database, Mr. Jacob Wallace II NPI is 1386809697, taxonomy code is 101YM0800X Jacob Wallace II physically located at 4368 Lincoln Ave, Oakland CA, 94602-2529. NPI Number Jacob Wallace II has the Individual type.

Sponsored links

1386809697 NPI number is provided on an as is basis without warranty of any kind. 1386809697 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Wallace II are for informational purposes only.