Individual
WENDE TRACEY-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
15001 SHADY GROVE RD, SUITE 310, ROCKVILLE, MD 20850-6352
(301) 340-1188
(301) 340-6478
Mailing address
6569 N CHARLES ST, PPW # 406, BALTIMORE, MD 21204-6831
(443) 849-2484
(443) 849-3067
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001446
MD
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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