Search › California › 171100000X
Jennifer Wallace, L.A.C
NPI 1124579602 · on the registry since 2016 · sole proprietor
Practice
- Address
- 237 Avenida Del Norte
Redondo Beach, CA 90277 - Phone
- (310) 483-4957
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California