Lisa Fenda Wallace, RD

NPI #1033862362 in Naples, Florida

Provider Information

NPI Number
1033862362
Entity Type
Individual
Name
Lisa Fenda Wallace, RD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Jan 27, 2022
Last Updated
Jan 27, 2022

Practice Location

Address
430 WILLET AVE
City
Naples
State
Florida
ZIP Code
34108-2104
Phone
(216) 409-1727

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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