JACQUELYN C WALLANDER

PRINCE FREDERICK, MD
NPI1063180792
Former NameJACQUELYN COLACICCO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: MD  R227415)
Enumeration Date2021-08-30
Last Update Date2021-08-30
Business Address
JACQUELYN C WALLANDER DNP CRNP
985 PRINCE FREDERICK BLVD SUITE 201
PRINCE FREDERICK, MD 20678-3492
Phone number: 410-414-5329
Mailing Address
JACQUELYN C WALLANDER DNP CRNP
985 PRINCE FREDERICK BLVD SUITE 201
PRINCE FREDERICK, MD 20678-3492
Phone number: 410-414-5329
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