Susan D Wallis

NPI 1740357813 - Counselor - 101YM0800X

NPI Details
NPI 1740357813
Gender Female
Enumeration Date 11/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5173 OXBOW CT
SAN JOSE CA, 95124-5421, US
Phone (408) 806-8156
Fax
Business Location
5173 OXBOW CT
SAN JOSE CA, 95124-5421, US
Phone (408) 806-8156
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Susan D Wallis NPI is 1740357813, taxonomy code is 101YM0800X Susan D Wallis physically located at 5173 Oxbow Ct, San Jose CA, 95124-5421. NPI Number Susan D Wallis has the Individual type.

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1740357813 NPI number is provided on an as is basis without warranty of any kind. 1740357813 is maintained by the National Plan & Provider Enumeration System. The contents of Susan D Wallis are for informational purposes only.