Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS ELISE LA KEISHA WALLACE, 172V00000X
Active Sole ProprietorMISS ELISE LA KEISHA WALLACE, 172V00000X is a Community Health Worker healthcare provider located in COMPTON, California. NPI 1376079558 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · COMPTON, CA
Registration Details
- NPI Number
- 1376079558
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2017 (9.267817991193 yrs)
- Last Updated
- May 5, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
921 E COMPTON BLVDCOMPTON, CA, 902213303Browse CA providers · Browse ZIP 90221
- Phone
- 3106686947
- Fax
- 3108981607
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in COMPTON, CA
| Name | Credential | NPI |
|---|---|---|
| YAXAL VALLADARES | — | 1417280314 |
| MISS LAURA RODRIGUEZ | — | 1184920068 |
| MRS. MICHELLE MARCINE MONTGOMERY | — | 1245519537 |
| BRENDA GUADALUPE SUAREZ CORTEZ | BA | 1528333853 |
| VICTOR NAVEJAS | — | 1093111007 |
| ALEXANDER HENRIQUEZ | — | 1891347803 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.