SAMARA WALLACE

Nurse's Aide

Active Individual
NPI: 1154960177

Practice Address

634 CAPITOL HEIGHTS BLVD
Capitol Heights, MD 20743

Phone: (202) 839-6862

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X No -
Nurse's Aide 376K00000X Yes -

Frequently Asked Questions

NPI 1154960177 is the National Provider Identifier for SAMARA WALLACE, a Nurse's Aide provider located in Capitol Heights, MD. This NPI was enumerated on December 23, 2019.
SAMARA WALLACE practices at 634 CAPITOL HEIGHTS BLVD, Capitol Heights, MD 20743.

Quick Facts

NPI
1154960177
Type
Individual
Enumerated
Dec 23, 2019
Last Updated
Dec 23, 2019

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