REGINALD M WALLEN

TEMPLE HILLS, MD
NPI1225194210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  D35317)
Additional Taxonomies207Q00000X Family Medicine
(Licence: VA  0101044800)
207Q00000X Family Medicine
(Licence: DC  MD16350)
Enumeration Date2006-12-28
Last Update Date2007-07-08
Business Address
Dr. REGINALD M WALLEN M.D.
6104 OLD BRANCH AVENUE KAISER PERMANENTE, PPQA, 6 WEST, ATTN THERESA BROOKS
TEMPLE HILLS, MD 20748-2518
Phone number: 301-702-6100
Mailing Address
Dr. REGINALD M WALLEN M.D.
2101 EAST JEFFERSON STREET KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS
ROCKVILLE, MD 20852
Phone number: 301-816-6660
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