PROF. REMEDIOS WALLACE

Licensed Psychiatric Technician

Active Individual
NPI: 1639294341

Practice Address

1212 N CALIFORNIA ST
Stockton, CA 95202

Phone: (209) 468-8842

Specialties

Specialty Code Primary License
Licensed Psychiatric Technician 167G00000X Yes PT24227 (CA)

Frequently Asked Questions

NPI 1639294341 is the National Provider Identifier for PROF. REMEDIOS WALLACE, a Licensed Psychiatric Technician provider located in Stockton, CA. This NPI was enumerated on March 20, 2007.
PROF. REMEDIOS WALLACE practices at 1212 N CALIFORNIA ST, Stockton, CA 95202.

Quick Facts

NPI
1639294341
Type
Individual
Enumerated
Mar 20, 2007
Last Updated
Jul 8, 2007

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