LETICIA KRISTIN WALLACE

AUSTIN, TX
NPI1891022828
Former NameLETICIA W MCLEOD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT80777)
Enumeration Date2009-11-12
Last Update Date2025-05-02
Business Address
LETICIA KRISTIN WALLACE R.D.,L.D.
211 COMAL ST
AUSTIN, TX 78702-4326
Phone number: 512-978-8130
Mailing Address
LETICIA KRISTIN WALLACE R.D.,L.D.
1111 E CESAR CHAVEZ ST
AUSTIN, TX 78702-4209
Phone number: 512-978-8130
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