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1750108890
DANIELLE MARIE WALLACE
GLEN BURNIE, MD
NPI
1750108890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R268707)
Enumeration Date
2024-09-20
Last Update Date
2024-09-20
Business Address
DANIELLE MARIE WALLACE
6720 RITCHIE HWY STE F
GLEN BURNIE, MD 21061-2892
Phone number: 667-406-0782
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Mailing Address
DANIELLE MARIE WALLACE
338 JENNINGS RD
SEVERNA PARK, MD 21146-1802
Phone number: 410-913-7927
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