JENNIFER WALLACE

GERMANTOWN, TN
NPI1124551247
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TN  1977)
Enumeration Date2017-04-05
Last Update Date2017-04-05
Business Address
JENNIFER WALLACE
2100 EXETER RD
GERMANTOWN, TN 38138-3966
Phone number: 901-757-1350
Mailing Address
JENNIFER WALLACE
PO BOX 405827
ATLANTA, GA 30384-5800
Phone number: