TARA ROBIN WALLACE

ONAMIA, MN
NPI1811309875
Former NameTARA ROBIN KMENT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MN  2281)
Enumeration Date2014-05-27
Last Update Date2014-05-27
Business Address
Mrs. TARA ROBIN WALLACE RD LD
200 ELM ST N
ONAMIA, MN 56359-7901
Phone number: 320-532-3154
Mailing Address
Mrs. TARA ROBIN WALLACE RD LD
200 ELM ST N
ONAMIA, MN 56359-7901
Phone number: 320-532-3154