Xavier Wallace

NPI 1336531680 - Counselor - 101Y00000X

NPI Details
NPI 1336531680
Gender Male
Enumeration Date 02/24/2015
Last Updated 02/24/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3406 GLACIER HWY
JUNEAU AK, 99801-7251, US
Phone (907) 463-3303
Fax (907) 463-6858
Business Location
3406 GLACIER HWY
JUNEAU AK, 99801-7251, US
Phone (907) 463-3303
Fax (907) 463-6858
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Xavier Wallace NPI is 1336531680, taxonomy code is 101Y00000X Xavier Wallace physically located at 3406 Glacier Hwy, Juneau AK, 99801-7251. NPI Number Xavier Wallace has the Individual type.

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1336531680 NPI number is provided on an as is basis without warranty of any kind. 1336531680 is maintained by the National Plan & Provider Enumeration System. The contents of Xavier Wallace are for informational purposes only.