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Search › California › 172V00000X

Sylvester Wallace

NPI 1427827625 · on the registry since 2023

Practice

Address
21935 Van Buren St Ste A1
Grand Terrace, CA 92313
Phone
(909) 906-1023
Fax
(909) 906-1032
Organisation at this address
The Heart Matters Foster Family Agency
The Heart Matters Foster Family Agency
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
225400000X
Sex
Male
Record last updated
2024-02-22

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