JACQUELINE M WALLACE

COLUMBIA, MD
NPI1912945155
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: MD  D0069282)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: PA  MD059921L)
Enumeration Date2006-06-02
Last Update Date2010-06-22
Business Address
-- JACQUELINE M WALLACE Physician
10910 LITTLE PATUXENT PKWY SUITE 100
COLUMBIA, MD 21044-3078
Phone number: 410-997-8444
Mailing Address
-- JACQUELINE M WALLACE Physician
10910 LITTLE PATUXENT PKWY SUITE 100
COLUMBIA, MD 21044-3078
Phone number: 410-997-8444
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