Brendan Kiely Wallace
Brendan Kiely Wallace is a Student in an Organized Health Care Education/Training Program in Baltimore, Maryland. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
600 N Wolfe Street Marburg 144Baltimore, MD 21287
Phone: (410) 955-2139
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1932852423 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 3, 2022 |
| Last updated in NPPES | February 3, 2022 |
| Certification date | February 3, 2022 |
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