Search › California › 172V00000X
Demetrius Wallace
NPI 1073186540 · on the registry since 2021
Practice
- Address
- 13733 Arthur Dr
Victorville, CA 92392 - Phone
- (760) 912-0467
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Male
- Record last updated
- 2021-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California