Mr. Demetrius Richard Wallace
Mr. Demetrius Richard Wallace is a Community Health Worker in Victorville, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
13733 Arthur DrVictorville, CA 92392-0205
Phone: (760) 912-0467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1073186540 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 21, 2021 |
| Last updated in NPPES | July 21, 2021 |
| Certification date | July 21, 2021 |
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Mrs. Trina Denise Wallace
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