Qyana Anyese Wallace A.S.W.

NPI 1235264524 - Social Worker - 104100000X

NPI Details
NPI 1235264524
Gender Female
Enumeration Date 02/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4025 W 226TH ST
TORRANCE CA, 90505-2340, US
Phone (310) 373-4556
Fax (310) 375-1784
Business Location
HARBOR CITY CA, 90710-3444, US
Phone (310) 534-4779
Taxonomy Code 104100000X
License State California
License Number 20558
Remove 1235264524 NPI Number

According to our database, Ms. Qyana Anyese Wallace A.S.W. NPI is 1235264524, taxonomy code is 104100000X and license number is 20558, license state is located at California. Qyana Anyese Wallace A.S.W. physically located at 4025 W 226th St, Torrance CA, 90505-2340. NPI Number Qyana Anyese Wallace A.S.W. has the Individual type.

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1235264524 NPI number is provided on an as is basis without warranty of any kind. 1235264524 is maintained by the National Plan & Provider Enumeration System. The contents of Qyana Anyese Wallace A.S.W. are for informational purposes only.