MARY WALLACE

Dietitian, Registered

Active Individual
NPI: 1982156766

Practice Address

939 CAROLINE ST
Port Angeles, WA 98362

Phone: (360) 417-7125

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes DI 60685427 (WA)

Frequently Asked Questions

NPI 1982156766 is the National Provider Identifier for MARY WALLACE, a Dietitian, Registered provider located in Port Angeles, WA. This NPI was enumerated on October 27, 2016.
MARY WALLACE practices at 939 CAROLINE ST, Port Angeles, WA 98362.

Quick Facts

NPI
1982156766
Type
Individual
Enumerated
Oct 27, 2016
Last Updated
Apr 11, 2023

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