MS. Maureen Patricia Wallace, R.D.

NPI #1790722015 in Dunedin, Florida

Provider Information

NPI Number: 1790722015
Entity Type: Individual
Name: MS. Maureen Patricia Wallace, R.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: R.D.
Enumeration Date: Jun 2, 2006
Last Updated: Aug 6, 2010

Practice Location

Address: 753 VIRGINIA ST
City: Dunedin
State: Florida
ZIP Code: 34698-6615
Phone: (727) 734-6888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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