Individual
ROBERT BRANDON WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
4494 PALMER RD N, BETHESDA, MD 20814
(301) 400-0586
Mailing address
4494 PALMER RD N, BETHESDA, MD 20814
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86376928
—
Other
Enumeration date
02/08/2023
Last updated
12/12/2025
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