NPI 1285911032

Jeanne M Wallace, PHD

Practitioner Nutritionist North Logan, UT

Practice location

Address: 1697 E 3450 N, North Logan, UT 84341-8310
Phone: (435) 563-0053
Fax: (435) 538-8058
Mailing address: 1697 East 3450 North, North Logan, UT 84341

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X

Other Nutritionist providers in Utah →

Registry record

NPI: 1285911032
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2011
Record last updated: 8 Nov 2011

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.