Individual
MRS. ANN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDCES
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 973-6930
(916) 784-5107
Mailing address
1600 EUREKA RD, MOB1, 2ND FLOOR, ADULT SPECIALTIES - ENDOCRINOLOGY, ROSEVILLE, CA 95661-3027
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
08/22/2022
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