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Sergio Wallace
NPI 1720525728 · on the registry since 2017 · sole proprietor
Practice
- Address
- 8201 Canterbury Lake Blvd
Tampa, FL 33619 - Phone
- (727) 657-8299
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Sex
- Male
- Record last updated
- 2017-01-27
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 Florida