Robert Earl Wallace
NPI #1427460518 in Yreka, California
Provider Information
- NPI Number
- 1427460518
- Entity Type
- Individual
- Name
- Robert Earl Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 23, 2014
- Last Updated
- May 23, 2014
Practice Location
- Address
- 2060 CAMPUS DR
- City
- Yreka
- State
- California
- ZIP Code
- 96097-9538
- Phone
- (530) 841-4824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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