Steven Earl Wallace RPA

NPI 1457515587 - Specialist/Technologist, Other - 246ZA2600X

NPI Details
NPI 1457515587
Gender Male
Enumeration Date 07/17/2008
Last Updated 07/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1065 BUCKS LAKE RD
QUINCY CA, 95971-9507, US
Phone (530) 283-7155
Fax (530) 283-1838
Business Location
2704 RIDGERUN RD
QUINCY CA, 95971-9380, US
Phone (530) 283-3504
Fax (530) 283-1838
Toxanomy
Taxonomy Code 246ZA2600X
License State
License Number 243U00000X
Remove 1457515587 NPI Number
 

According to our database, Steven Earl Wallace RPA NPI is 1457515587, taxonomy code is 246ZA2600X and license number is 243U00000X, license state is located at . Steven Earl Wallace RPA physically located at 1065 Bucks Lake Rd, Quincy CA, 95971-9507. NPI Number Steven Earl Wallace RPA has the Individual type.

Sponsored links

1457515587 NPI number is provided on an as is basis without warranty of any kind. 1457515587 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Earl Wallace RPA are for informational purposes only.