MRS. TARA WALLACE, RD LD
Dietitian, Registered
Active
Individual
NPI: 1811309875
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered | 133V00000X | Yes | 2281 (MN) |
Frequently Asked Questions
NPI 1811309875 is the National Provider Identifier for MRS. TARA WALLACE, RD LD, a Dietitian, Registered provider located in Onamia, MN. This NPI was enumerated on May 27, 2014.
MRS. TARA WALLACE, RD LD practices at 200 ELM ST N, Onamia, MN 56359.
Quick Facts
- NPI
- 1811309875
- Type
- Individual
- Enumerated
- May 27, 2014
- Last Updated
- May 27, 2014
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