Andrea Namon Wallace
Andrea Namon Wallace is a Student in an Organized Health Care Education/Training Program in Culver City, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
9808 Venice Blvd Ste 700Culver City, CA 90232-6824
Phone: (310) 945-3350
Fax: (310) 945-3356
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1083264485 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 17, 2019 |
| Last updated in NPPES | September 17, 2019 |
| Mailing address | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 |
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