Individual
DENISE DESIREE WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7918 JONES BRANCH DR, 4TH FLR-#274, MCLEAN, VA 22102
(571) 582-5870
(949) 666-2287
Mailing address
7918 JONES BRANCH DR, 4TH FLR-#274, MCLEAN, VA 22102
(571) 582-5870
(949) 666-2287
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101241250
VA
Other
Enumeration date
10/12/2006
Last updated
03/31/2026
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