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Anthony Wallace
NPI 1851574347 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4849 Civic Center Way
East Los Angeles, CA 90022 - Phone
- (323) 780-2125
Registry record
- Primary taxonomy
- Case Management Agency
251B00000X
- Sex
- Male
- Record last updated
- 2007-12-07
- Status
- Not present in the most recent federal file
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