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MS. ANGELA M WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9300 DEWITT LOOP DEPT OF, FT BELVOIR, VA 22060-5285
(571) 231-1015
Mailing address
9300 DEWITT LOOP DEPT OF, FORT BELVOIR, VA 22060-5285
(571) 231-1015

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0024093871
VA

Other

Enumeration date
01/31/2006
Last updated
02/28/2018
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