Individual provider · Type 1 NPI

Demetrius Richard Wallace

Community Health Worker · Victorville, CA

NPI number 1073186540 Active

Practice location

13733 Arthur Dr
Victorville, CA 92392-0205

Call (760) 912-0467 Map

Mailing address

PO Box 1477
Victorville, CA 92393-1477

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker Primary 172V00000XNone listed

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1073186540

Demetrius Richard Wallace's National Provider Identifier is 1073186540, issued on Jul 21, 2021. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Victorville, CA. The record was last updated on Jul 21, 2021.