Individual
JUNA WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 SPRUCE DR NW, WASHINGTON, DC 20012-1028
(202) 867-5130
Mailing address
2105 SPRUCE DR NW, WASHINGTON, DC 20012-1028
(202) 867-5130
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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