Individual
MR. WILLIAM WACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14414 DELANO ST, VAN NUYS, CA 91401
(818) 374-2849
(818) 909-6719
Mailing address
9150 EAST IMPERIAL HWY, ROOM P31, DOWNEY, CA 90242
(562) 940-3694
(562) 658-4725
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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