Mr. Paul David Wallace
Mr. Paul David Wallace is a Licensed Psychiatric Technician in Stockton, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1212 N California StStockton, CA 95202-1552
Phone: (209) 468-3760
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Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence PT 26296 (CA) |
|---|
Record details
| NPI number | 1114044799 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 1212 N California St, Stockton, CA 95202-1552 |
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