Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SYLVESTER LEE WALLACE JR.
ActiveMR. SYLVESTER LEE WALLACE JR. is a Community Health Worker healthcare provider located in GRAND TERRACE, California. NPI 1427827625 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · GRAND TERRACE, CA
Registration Details
- NPI Number
- 1427827625
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2023 (2.6117358943519 yrs)
- Last Updated
- Feb 22, 2024
- License
-
NONE
Practice Information
- Address
-
21935 VAN BUREN ST STE A1GRAND TERRACE, CA, 923135652Browse CA providers · Browse ZIP 92313
- Phone
- 9099061023
- Fax
- 9099061032
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in GRAND TERRACE, CA
| Name | Credential | NPI |
|---|---|---|
| MARY CARRILLO | — | 1477925790 |
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.