BERNADETTE WALLACE

BALTIMORE, MD
NPI1679582696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MD  R045649)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
Ms. BERNADETTE WALLACE CRNA
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-6704
Mailing Address
Ms. BERNADETTE WALLACE CRNA
PO BOX 64795
BALTIMORE, MD 21264-4795
Phone number: 410-328-6704
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