MARY TERESE WALLACE

PORT ANGELES, WA
NPI1982156766
Professional NameTERESE WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  DI 60685427)
Enumeration Date2016-10-27
Last Update Date2023-04-11
Business Address
MARY TERESE WALLACE
939 CAROLINE ST
PORT ANGELES, WA 98362-3997
Phone number: 360-417-7125
Mailing Address
MARY TERESE WALLACE
700 BROADWAY
SEATTLE, WA 98122-4302
Phone number: 206-720-3734
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