Individual
JO LYNNE WALLIN-WAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS
Contact information
Practice address
5701 N CHARLES ST, SUITE 5218, BALTIMORE, MD 21210-1315
(443) 849-3786
(443) 849-8447
Mailing address
2308 W ROGERS AVE, BALTIMORE, MD 21209-4426
(410) 664-8717
(443) 849-3447
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
11560
MD
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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