Individual
DR. JEFFREY NEIL WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
330 140 VILLAGE RD, UNIT 9A, WESTMINSTER, MD 21157-6127
(410) 876-8881
(410) 848-6343
Mailing address
330 140 VILLAGE RD, UNIT 9A, WESTMINSTER, MD 21157-6127
(410) 876-8881
(410) 848-6343
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SO1780
MD
Other
Enumeration date
05/10/2006
Last updated
09/08/2021
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