person
Mrs. Brandi Wallace, HAIRLOSSSPECIALIST
Prosthetics Case Management in Salisbury, Maryland
NPI 1457019135

Brandi Wallace is a Prosthetics Case Management based in Salisbury, MD and is specialized in Prosthetics Case Management. Brandi Wallace practices in Salisbury, MD and has the professional credentials of HAIRLOSSSPECIALIST. The NPI Number for Brandi Wallace is 1457019135 and holds a License No. 418829 (Maryland).

The current practice location address for Brandi Wallace is 235 W Main St Ste E, Salisbury, MD and can be reached out via phone at 443-447-2028.

Location: 235 W Main St Ste E, Salisbury, MD, 21804-9289
person
Provider Profile Details
NPI Number
1457019135
Provider Name
Brandi Wallace
Credential
HAIRLOSSSPECIALIST
Provider Entity Type
Individual
Gender
Female
Address
235 W Main St Ste E, Salisbury, MD, 21804-9289
Phone Number
443-447-2028
Fax Number
Provider Enumeration Date
11/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
235 W Main St Ste E
City
State
Zip
21801-4868
Phone Number
443-447-2028
Fax Number
person
Provider Business Mailing Address Details
Address
235 W Main St Ste E
City
State
Zip
21801-4868
Phone Number
443-447-2028
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
418829 (Maryland)
Definition
Definition to come...
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