Individual
MS. KAREN L WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
15418 MAIN ST, STE 301, MILL CREEK, WA 98012-9030
(425) 385-3262
(425) 357-0924
Mailing address
15418 MAIN STREET, SUITE 301, MILL CREEK, WA 98012
(425) 385-3262
(425) 357-0924
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000485
WA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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