JANIKA WALLACE, D.O.
Family Medicine
Active
Individual
NPI: 1255642930
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Family Medicine | 207Q00000X | Yes | H0075972 (MD) |
Frequently Asked Questions
NPI 1255642930 is the National Provider Identifier for JANIKA WALLACE, D.O., a Family Medicine provider located in North East, MD. This NPI was enumerated on June 28, 2010.
JANIKA WALLACE, D.O. practices at 104 E CECIL AVE, 1ST FLOOR, North East, MD 21901.
Quick Facts
- NPI
- 1255642930
- Type
- Individual
- Enumerated
- Jun 28, 2010
- Last Updated
- Apr 7, 2015
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