Individual
ANNMARIE CYNTHIA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
836 FAIROAK AVE, HYATTSVILLE, MD 20783
(347) 369-5492
Mailing address
836 FAIROAK AVE, HYATTSVILLE, MD 20783-3139
(347) 369-5492
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12922
DC
Other
Enumeration date
07/14/2017
Last updated
07/21/2022
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