Wallace Andrew Lafont
Wallace Andrew Lafont is a Student in an Organized Health Care Education/Training Program in Oakland, California. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
390 40th StOakland, CA 94609-2633
Phone: (510) 653-5040
Fax: (510) 653-6475
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1285914507 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 17, 2011 |
| Last updated in NPPES | August 23, 2011 |
| Mailing address | 390 40th St, Oakland, CA 94609-2633 |
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