STEPHANIE LOUISE WALLACE

TOWSON, MD
NPI1518299197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R160036)
Enumeration Date2010-02-05
Last Update Date2023-02-03
Business Address
STEPHANIE LOUISE WALLACE
6701 N CHARLES ST STE 4226
TOWSON, MD 21204-6808
Phone number: 410-296-4616
Mailing Address
STEPHANIE LOUISE WALLACE
1122 KENILWORTH DR STE 317
BALTIMORE, MD 21204-2146
Phone number: 410-296-4616
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