JEANNE M WALLACE

NORTH LOGAN, UT
NPI1285911032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133N00000X Nutritionist
Enumeration Date2011-11-08
Last Update Date2011-11-08
Business Address
-- JEANNE M WALLACE PhD
1697 E 3450 N
NORTH LOGAN, UT 84341-8310
Phone number: 435-563-0053
Mailing Address
-- JEANNE M WALLACE PhD
1697 EAST 3450 NORTH
NORTH LOGAN, UT 84341
Phone number: 435-563-0053