John Wallace
John Wallace is a Case Manager/Care Coordinator in Modesto, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1620 Cummins DrModesto, CA 95358-6400
Phone: (209) 969-0363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1538740774 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 19, 2021 |
| Last updated in NPPES | October 23, 2023 |
| Certification date | October 23, 2023 |
| Mailing address | 1620 Cummins Dr, Modesto, CA 95358-6400 |
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