TREVOR WALLACE

Case Manager/Care Coordinator

Active Individual
NPI: 1417386350

Practice Address

315 RECORD ST STE 103
Reno, NV 89512

Phone: (775) 405-4111

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1417386350 is the National Provider Identifier for TREVOR WALLACE, a Case Manager/Care Coordinator provider located in Reno, NV. This NPI was enumerated on November 1, 2013.
TREVOR WALLACE practices at 315 RECORD ST STE 103, Reno, NV 89512.

Quick Facts

NPI
1417386350
Type
Individual
Enumerated
Nov 1, 2013
Last Updated
Apr 16, 2020

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