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Juliana Wallace

NPI 1881140275 · on the registry since 2016 · sole proprietor

Practice

Address
8220 S San Pedro St
Los Angeles, CA 90003
Phone
(323) 570-0445
Organisation at this address
Personal Involvement Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
107

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-22

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