Wallace, Pamela Jene
Wallace, Pamela Jene is an individual health care provider with primary practice located at 1331 W Avenue J Ste 103 , Lancaster CA 93534-2946. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Wallace, Pamela Jene can be contacted via phone (661) 579-3191.Contact Information
Primary practice address
1331 W Avenue J Ste 103
Lancaster CA 93534-2946
Phone: (661) 579-3191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | R1465460422 | California |
Profile Details
| NPI number | 1477270676 |
|---|---|
| LBN Legal business name | Wallace, Pamela Jene |
| Credentials | BACHELORS, RADT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2022 |
| Last updated | Oct 27th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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