MS. MINDY WALLACE, RD LDN

Dietitian, Registered

Active Individual
NPI: 1851305304

Practice Address

935 JERSEY ST
Quincy, IL 62301

Phone: (217) 228-2413

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X No 2005004105 (MO)

Frequently Asked Questions

NPI 1851305304 is the National Provider Identifier for MS. MINDY WALLACE, RD LDN, a Dietitian, Registered provider located in Quincy, IL. This NPI was enumerated on July 28, 2006.
MS. MINDY WALLACE, RD LDN practices at 935 JERSEY ST, Quincy, IL 62301.

Quick Facts

NPI
1851305304
Type
Individual
Enumerated
Jul 28, 2006
Last Updated
Sep 22, 2008

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