Wallace, Shelley Renee
Wallace, Shelley Renee is an individual health care provider with primary practice located at 2209 E 32Nd St , Tacoma WA 98404-4922. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Wallace, Shelley Renee can be contacted via phone (253) 593-0232.Contact Information
Primary practice address
2209 E 32Nd St
Tacoma WA 98404-4922
Phone: (253) 593-0232
Fax: (253) 382-2094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | NU 60064646 | Washington |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 00881196 | Washington |
Profile Details
| NPI number | 1295030948 |
|---|---|
| LBN Legal business name | Wallace, Shelley Renee |
| Credentials | MPH, RD, CN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2011 |
| Last updated | Jan 11th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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