Individual
WALLACE BUTTRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2751 NAPA VALLEY CORPORATE DR BLDG B, NAPA, CA 94558-6216
(707) 227-3880
Mailing address
2751 NAPA VALLEY CORPORATE DR BLDG B, NAPA, CA 94558-6216
(707) 227-3880
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95106330
CA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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