Wendy Jo Wallace, RDN

NPI #1124799051 in Longview, Texas

Provider Information

NPI Number
1124799051
Entity Type
Individual
Name
Wendy Jo Wallace, RDN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RDN
Enumeration Date
Sep 21, 2021
Last Updated
Sep 21, 2021

Practice Location

Address
1007 LOVERS LN
State
Texas
ZIP Code
75604-2855
Phone
(903) 261-2269

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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