Michelle D Wallace

NPI #1972044519 in Largo, Maryland

Provider Information

NPI Number
1972044519
Entity Type
Individual
Name
Michelle D Wallace
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 15, 2017
Last Updated
Oct 21, 2021

Practice Location

Address
9701 APOLLO DR STE 105
City
Largo
ZIP Code
20774-4785
Phone
(301) 985-2985

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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