DIANE E WALLACE

ARLINGTON, TX
NPI1841219318
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT04296)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
-- DIANE E WALLACE RD, CDE, RMT
3105 W ARKANSAS LN SUITE B-1
ARLINGTON, TX 76016-5721
Phone number: 817-798-8977
Mailing Address
-- DIANE E WALLACE RD, CDE, RMT
9109 CHARDIN PARK DR
KELLER, TX 76248-7626
Phone number: 817-798-8977