Individual provider · Type 1 NPI

Andrea Namon Wallace

Student in an Organized Health Care Education/Training Program · Culver City, CA

NPI number 1083264485 Active

Practice location

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824

Call (310) 945-3350 Map

Fax (310) 945-3356

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

705 other providers at this address

Other student in an organized health care education/training program providers in Culver City

See all in Culver City →

About NPI 1083264485

Andrea Namon Wallace's National Provider Identifier is 1083264485, issued on Sep 17, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Culver City, CA. The record was last updated on Sep 17, 2019.