Individual
MS. MARCIA L WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LMNT
Contact information
Practice address
6001 VILLAGE DRIVE, HY-VEE, LINCOLN, NE 68516
(402) 421-2462
(402) 421-6517
Mailing address
6001 VILLAGE DRIVE, HY-VEE, LINCOLN, NE 68516
(402) 421-2462
(402) 421-6517
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
355564
—
133V00000X
Registered Dietitian
Primary
882
NE
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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