Individual
JAN WALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1347, OAKHURST, CA 93644-1347
(559) 642-7042
Mailing address
PO BOX 1347, OAKHURST, CA 93644-1347
(559) 642-7042
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
808090
CA
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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