STACY L WALLACE

SAN ANTONIO, TX
NPI1487896668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: TX  855077)
Enumeration Date2009-04-02
Last Update Date2009-04-02
Business Address
-- STACY L WALLACE RD
20330 HUEBNER RD SUITE 104
SAN ANTONIO, TX 78258-3508
Phone number: 832-237-3500
Mailing Address
-- STACY L WALLACE RD
11321 FALLBROOK DR
HOUSTON, TX 77065-4232
Phone number: 832-237-3500
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