BRENDAN KIELY WALLACE

BALTIMORE, MD
NPI1932852423
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-02-03
Last Update Date2022-02-03
Business Address
BRENDAN KIELY WALLACE
600 N. WOLFE STREET MARBURG 144
BALTIMORE, MD 21287
Phone number: 410-955-2139
Mailing Address
BRENDAN KIELY WALLACE
13080 MINDANAO WAY APT 91
MARINA DEL REY, CA 90292-8740
Phone number: 585-797-5627