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Tahira Wallace
NPI 1205783941 · on the registry since 2026 · sole proprietor
Practice
- Address
- 14929 Notley Rd
Silver Spring, MD 20905 - Phone
- (240) 444-9603
Registry record
- Primary taxonomy
- 261QS1000X
261QS1000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland