KELLI B WALLACE

CLAYTON, NC
NPI1508551433
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NC  004064)
Enumeration Date2023-04-06
Last Update Date2023-04-06
Business Address
KELLI B WALLACE RD
2138 NC HIGHWAY 42 W
CLAYTON, NC 27520-5300
Phone number: 919-585-8777
Mailing Address
KELLI B WALLACE RD
2138 NC HIGHWAY 42 W
CLAYTON, NC 27520-5300
Phone number: 919-585-8777
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