ANITA WALLAK

STATESVILLE, NC
NPI1548971666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NC  082017)
Enumeration Date2022-12-09
Last Update Date2022-12-09
Business Address
ANITA WALLAK RD, LDN
215 W BROAD ST
STATESVILLE, NC 28677-5300
Phone number: 917-653-3531
Mailing Address
ANITA WALLAK RD, LDN
157 NORMANDY RD
MOORESVILLE, NC 28117-8430
Phone number: 917-653-3531