Individual
CHRISTOPHER A CARLOS-WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1170 MARKET ST, SAN FRANCISCO, CA 94102-4980
(415) 420-4729
Mailing address
1170 MARKET ST, SAN FRANCISCO, CA 94102-4980
(415) 427-4792
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/15/2022
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