Ericka Wallace

NPI #1528932506 in Matteson, Illinois

Provider Information

NPI Number
1528932506
Entity Type
Individual
Name
Ericka Wallace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nutritionist
Enumeration Date
Oct 2, 2025
Last Updated
Oct 2, 2025

Practice Location

Address
PO BOX 665
ZIP Code
60443-0665
Phone
(312) 613-3335

Specialties & Taxonomy Codes

Specialty
Nutritionist

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