Wallace, Krystle

Wallace, Krystle is an sole proprietor health care provider with primary practice located at 16002 Philmont Ln , Bowie MD 20716-1619. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Wallace, Krystle can be contacted via phone (203) 231-0947.

Contact Information

Primary practice address
16002 Philmont Ln Bowie MD 20716-1619
Phone: (203) 231-0947
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X

Profile Details

NPI number 1699495325
LBN Legal business name Wallace, Krystle
Credentials IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2022
Last updated Sep 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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