JODIE ELIZABETH WALLACE

ANTIOCH, CA
NPI1316429939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  86100110)
Enumeration Date2018-08-30
Last Update Date2018-08-30
Business Address
JODIE ELIZABETH WALLACE RD
4501 SAND CREEK RD
ANTIOCH, CA 94531-8687
Phone number: 925-813-7600
Mailing Address
JODIE ELIZABETH WALLACE RD
4501 SAND CREEK RD
ANTIOCH, CA 94531-8687
Phone number: 925-813-7600