Tracey Lynn Wallace, AUDCCCA

Practice location

Address

14101 Molly Berry Rd, Brandywine, MD 20613-2306

Phone

(301) 793-3277

Mailing address

6368 Coventry Way Suite #146, Clinton, MD 20735-2256

Registered specialties

Registry record

NPI

1144483033

Entity type

Individual

Sex (as registered)

Female

NPI issued

9 Jul 2008

Record last updated

16 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.