TRACEE MARIE WALLACE

WASHINGTON, DC
NPI1811128010
Former NameTRACEE MARIE HERMANSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: DC  PA031280)
Enumeration Date2009-08-05
Last Update Date2023-05-01
Business Address
Mrs. TRACEE MARIE WALLACE PA-C
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016-2633
Phone number: 202-537-4000
Mailing Address
Mrs. TRACEE MARIE WALLACE PA-C
10551 HUNTERS WAY
LAUREL, MD 20723-5723
Phone number: 505-573-1388
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