NPI 1124799051

Wendy Jo Wallace, RDN

Practitioner Registered Dietitian Longview, TX

Practice location

Address: 1007 Lovers Ln, Longview, TX 75604-2855
Phone: (903) 261-2269

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 831664 (TX)

Other Dietitian, Registered providers in Texas →

Registry record

NPI: 1124799051
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2021
Record last updated: 21 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.