KIMBERLY SHANNON WALLACE

GAMBRILLS, MD
NPI1770627705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MD  D66924)
Enumeration Date2007-02-15
Last Update Date2019-03-18
Business Address
KIMBERLY SHANNON WALLACE MD
1438 DEFENSE HWY SUITE 201
GAMBRILLS, MD 21054
Phone number: 410-721-3200
Mailing Address
KIMBERLY SHANNON WALLACE MD
1438 DEFENSE HWY SUITE 201
GAMBRILLS, MD 21054
Phone number: 410-721-3200
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