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Samara Wallace
NPI 1154960177 · on the registry since 2019
Practice
- Address
- 634 Capitol Heights Blvd
Capitol Heights, MD 20743 - Phone
- (202) 839-6862
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 3747P1801X
- Sex
- Female
- Record last updated
- 2019-12-23
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