Jacael Olia Wallace

NPI #1992466270 in Clinton, Maryland

Provider Information

NPI Number: 1992466270
Entity Type: Individual
Name: Jacael Olia Wallace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Doula
Enumeration Date: Jan 7, 2022
Last Updated: Jan 7, 2022

Practice Location

Address: 7409 COLCHESTER DR
City: Clinton
State: Maryland
ZIP Code: 20735-1318
Phone: (240) 351-5177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X	Primary

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