Wanda Pulliam
Wanda Pulliam is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Baltimore, Maryland. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
843 N Augusta AveBaltimore, MD 21229-1823
Phone: (443) 829-4562
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1609523885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2022 |
| Last updated in NPPES | March 7, 2022 |
| Certification date | March 7, 2022 |
| Mailing address | 843 N Augusta Ave, Baltimore, MD 21229-1823 |
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