Carly Jean Vance
Carly Jean Vance is a Student in an Organized Health Care Education/Training Program in Frederick, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
400 W Seventh StFrederick, MD 21701-4506
Phone: (410) 507-3452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence C08941 (MD) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1255073268 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 11, 2022 |
| Last updated in NPPES | August 1, 2023 |
| Certification date | August 1, 2023 |
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Dr. Patrick Wallace, DO
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