IndividualActive
Erika Wallace
NPI 1639826670 · Oxygen Equipment & Supplies (DME) · Bowie, MD
Provider details
- NPI number
- 1639826670
- Entity type
- Individual
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 16862868 (MD)
Specialties & taxonomies
Suppliers
Practice location
16521 Sylvan Dr
Bowie, MD 20715-4358
Phone: (443) 223-4123
Approximate (ZIP-level) locationGet directions
Mailing address
16521 Sylvan Dr
Bowie, MD 20715-4358
Registry dates
- Enumerated
- 2022-03-09
- Last updated
- 2022-03-09
- Certified
- 2022-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.