Jackylin Jill Wallace

NPI #1073247912 in Lake Isabella, California

Provider Information

NPI Number: 1073247912
Entity Type: Individual
Name: Jackylin Jill Wallace
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Jul 15, 2022
Last Updated: Aug 15, 2023

Practice Location

Address: 2731 NUGGET AVE
City: Lake Isabella
State: California
ZIP Code: 93240-9456
Phone: (760) 379-3412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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