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1104640887
ASHLYN WALLACE
FAIRFAX, VA
NPI
1104640887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024191724)
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
ASHLYN WALLACE FNP-C
8613 LEE HIGHWAY SUITE 101
FAIRFAX, VA 22031
Phone number: 571-350-8400
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Mailing Address
ASHLYN WALLACE FNP-C
3040 WILLIAMS DR STE 100
FAIRFAX, VA 22031-4618
Phone number:
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