MRS. Mable Wu Wallace

NPI #1144512757 in Ashburn, Virginia

Provider Information

NPI Number: 1144512757
Entity Type: Individual
Name: MRS. Mable Wu Wallace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: May 15, 2011
Last Updated: May 15, 2011

Practice Location

Address: 20070 ASHBROOK COMMONS PLZ
City: Ashburn
State: Virginia
ZIP Code: 20147-5034
Phone: (571) 223-0517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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