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Theresa Wallace

NPI 1063947018 · on the registry since 2017

Practice

Address
2201 1/2 Roslyn Ave
Apt 203
Baltimore, MD 21216
Phone
(443) 468-2142

Registry record

Primary taxonomy
374U00000X
374U00000X
Sex
Female
Record last updated
2017-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland