Wallace, Wendy Jo

Wallace, Wendy Jo is an sole proprietor health care provider with primary practice located at 1007 Lovers Ln , Longview TX 75604-2855. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wallace, Wendy Jo can be contacted via phone (903) 261-2269.

Contact Information

Primary practice address
1007 Lovers Ln Longview TX 75604-2855
Phone: (903) 261-2269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 831664 Texas

Profile Details

NPI number 1124799051
LBN Legal business name Wallace, Wendy Jo
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2021
Last updated Sep 21st, 2021 - about 4 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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