Mr. Sylvester Lee Wallace Jr.
Mr. Sylvester Lee Wallace Jr. is a Rehabilitation Practitioner in Grand Terrace, California. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
21935 Van Buren St Ste A1Grand Terrace, CA 92313-5652
Phone: (909) 906-1023
Fax: (909) 906-1032
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence NONE |
|---|---|
| Rehabilitation Practitioner | Taxonomy 225400000X |
Record details
| NPI number | 1427827625 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 28, 2023 |
| Last updated in NPPES | February 22, 2024 |
| Certification date | February 22, 2024 |
Other providers in Grand Terrace
-
Alyssa Destiny Gallardo
21935 Van Buren St St A1, Grand Terrace, CA 92313 · (909) 906-1023
-
Melody Hernandez
21935 Van Buren St # A1, Grand Terrace, CA 92313-5652 · (909) 906-1023
-
Juandertta Murphy
22365 Barton Rd Ste 302, Grand Terrace, CA 92313-5078 · (909) 370-2858
-
Jennifer Reyes
21935 Van Buren St Ste B-13, Grand Terrace, CA 92313-5652 · (909) 906-1023