DENISE DESIREE WALLIS

MANASSAS, VA
NPI1386733863
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: VA  0101241250)
Enumeration Date2006-10-12
Last Update Date2021-05-20
Business Address
DENISE DESIREE WALLIS MD
9715 LIBERIA AVE
MANASSAS, VA 20110-5837
Phone number: 571-229-1797
Mailing Address
DENISE DESIREE WALLIS MD
6020 RICHMOND HWY STE 102
ALEXANDRIA, VA 22303-2157
Phone number: 443-393-3653
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