Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Candace Wallace, CPT

Individual provider Phlebotomy Technician · NPI 1790562510

MS. Candace Wallace, CPT is a Phlebotomy Technician in Baltimore, Maryland. Works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2023

Practice location Address checks out

6340 Security Blvd Ste 100
Baltimore, MD 21207-5284
Phone: (443) 272-1423
Fax: (443) 658-0623
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3952 Whispering Meadow Dr, Randallstown, MD 21133 — (443) 272-1423

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X (MD)

Record details

NPI number1790562510
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPT
Sole proprietorNo
NPI enumeratedSeptember 14, 2023
Last updated in NPPESDecember 30, 2023
Certification dateDecember 30, 2023
Mailing address6340 Security Blvd Ste 100, Baltimore, MD 21207-5284

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